| NPI | 1487260139 |
|---|---|
| Doing Business As | AUTISM & BEHAVIOR SVCS |
| Entity Type | Organization |
| Authorized Contact | LAURA FORKUM Owner 423-326-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |