| NPI | 1396255527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MICAH CHILDS Behavior Analyst 719-235-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-14-17377) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |