| NPI | 1457063687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNI VONTEDDU CEO 612-965-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2024-07-10 |