| NPI | 1487431052 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | TIFFANYE MCKINNEY Owner 804-519-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-11-06 |