| NPI | 1427987882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKALISE MITCHELL Senior Credentialing Specialist 281-826-3382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2026-05-13 |
| Last Update Date | 2026-05-13 |