| NPI | 1508095480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT STOELB Director 573-999-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 251S00000X | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2014-07-25 |