| NPI | 1467923797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L GAMBLE Owner 702-810-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |