| NPI | 1386132363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HARCUM BRANCHAUD Owner 757-630-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000561) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |