| NPI | 1508277385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LORENE HOLBERT Owner 304-319-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-11-8117) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |