| NPI | 1609384932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A FIELDS Behavior Analyst 302-650-6038 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: DE BACB275582) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: DE 1-05-2374) |
| 103TC0700X Psychologist, Clinical (Licence: DE B1-0000651) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |