| NPI | 1578890869 |
|---|---|
| Doing Business As | GREENWOOD INTERPROFESSIONAL AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | MARYELLEN KOCH JENSEN Director 660-341-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2024-11-06 |