| NPI | 1568851889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE SIAS WILKINSON Owner/Executive Director 502-915-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 101584) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: KY 0906666) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2022-02-09 |