| NPI | 1417303165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN JOHNSTON Neurofeedback Therapist & Fitness 575-405-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist |
| Additional Taxonomies | 174H00000X Health Educator |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |