NPI | 1548647431 |
---|---|
Entity Type | Organization |
Authorized Contact | LORENA DECKER Director 757-296-0442 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-15-18427) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-15-18427) |
Enumeration Date | 2015-04-30 |
Last Update Date | 2015-04-30 |