| NPI | 1508522400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL JAJOO Owner 832-428-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |