| NPI | 1609680537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUIANA BLAKE Owner 702-600-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2026-07-20 |