| NPI | 1477390284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL GHIRARD Owner 860-552-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-25 |