| NPI | 1508505256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOATES Director 817-999-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |