| NPI | 1477992758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY OLSEN Owner 603-732-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NH 1-10-7436) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 01003313) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |