| NPI | 1457862849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN POLK CEO 480-528-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2021-05-26 |