| NPI | 1396630042 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KIMMESHA TROUTMAN Owner 404-828-0244 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-06-12 | 
| Last Update Date | 2025-06-12 |