| NPI | 1548977796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY MARIE BANKSTON Behavior Analyst 985-634-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |