NPI | 1417603002 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL POOLOS CEO 512-694-7848 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103T00000X Psychologist |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2022-02-23 |
Last Update Date | 2023-03-06 |