| NPI | 1518469220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN SMITH-KONG CEO 888-963-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: GA 39388) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2024-10-28 |