NPI | 1477065761 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON SOUTHARD Owner, Bcba 617-922-2370 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 825) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1585) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2025-04-29 |