| NPI | 1588363824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA BARRETT Owner 567-304-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-07-31 |