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 |