| 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 |