| NPI | 1528761053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIKELAH BOOKER Bcba 616-840-3759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-12-06 |