NPI | 1598519274 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA L GOMEZ Credentialing Manager 512-508-3941 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2024-04-17 |
Last Update Date | 2024-08-26 |