| NPI | 1396170130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDRIA MONIQUE SEALS GREEN Executive Director 866-752-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 11212642) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |