| NPI | 1457144685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON CARTER Owner 478-957-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-07-14 |