| NPI | 1558017376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LOUIS DICARLO Credentialing Team Lead 855-324-0885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |