| NPI | 1518601608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE BARBIN Director 703-855-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |