| NPI | 1417572454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PICKERILL Owner 719-644-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |