| NPI | 1396082657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE WISSINGER Owner/Founder 443-741-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-11-8182) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2016-12-21 |