| NPI | 1548811177 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MAMIE ANN TURNER Behavior Analyst 336-455-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-08-24 |