| NPI | 1518623065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA LEVESTON Owner/ CEO 770-858-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-10-02 |