NPI | 1598487175 |
---|---|
Doing Business As | KORT KIDS -MADISON |
Entity Type | Organization |
Authorized Contact | MICHAEL TARVIN Vice President 717-972-1100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Enumeration Date | 2022-09-12 |
Last Update Date | 2022-10-28 |