| 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 |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-03-06 |