| NPI | 1518452119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA KIENER Behavior Analyst 480-375-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |