| NPI | 1578969937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LEANNE BOGGS-KISSEL Owner/Director 817-731-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 52739) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-14-16405) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |