| NPI | 1588182943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUES BOUBEKA Administrator 520-304-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AZ BH5165) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |