| NPI | 1609731389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ROSS Director Of Credentialing 678-894-1116 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |