| NPI | 1609348820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH KEELEY Controller 484-383-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2022-12-27 |