| NPI | 1588547913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHIDHRA S POOLE Administrator 804-551-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |