| NPI | 1568117554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY REED Secretary 214-772-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 106S00000X Behavior Technician | |
| 207ZN0500X Pathology Neuropathology | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |