| NPI | 1407181373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL V MATTISON Board Certified Behavior Analyst 610-316-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |