| NPI | 1518633312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE SYFAN Founder 984-235-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-25 |