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 |