| NPI | 1578349320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHAR SANAKA Owner 251-635-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |