| NPI | 1427322858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D CAMPBELL Owner / Manager 817-408-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1095283) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 14784) |
| 103K00000X Behavior Analyst (Licence: FL 1107216) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 17279) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |