| NPI | 1396383568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA HAMMEL Credentialing Manager 765-461-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2021-12-14 |