| NPI | 1467011072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY HATCHER Director 317-677-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-06-26 |