| NPI | 1386421386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FREY COO 623-227-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |