| NPI | 1427633783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LONG Executive Director 317-318-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-04-21 |