| NPI | 1609220847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SMITH Owner/Practicioner 931-252-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 11519164) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |