| NPI | 1518604966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE DAMAN Owner 405-590-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |