| NPI | 1457126716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA BOUCHER Board Certified Behavior Analyst 765-667-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |