| NPI | 1588932875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA SMITH Psychologist 501-730-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-6895) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AR 0618P) |
| 103TS0200X Psychologist, School (Licence: AR 99-5E) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |