| NPI | 1477130425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SANDS Co Owner/Manager 317-494-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 102L00000X Psychoanalyst | |
| 103T00000X Psychologist | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2022-01-14 |