| 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 |