| NPI | 1427773662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS TERRELL WELCH Executive Director 424-303-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-13 |