| NPI | 1447724612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN LAMA Slp/Bcba 219-241-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 174400000X Specialist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2024-04-03 |