| NPI | 1548936925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKYSHA STARKS- SAMPSON Executive Director 318-210-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |