| NPI | 1396533600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN PRATT CEO 612-201-2468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 103T00000X Psychologist | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |