| NPI | 1619122348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEE CREECH Behavior Analyst 804-402-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 109) |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2020-09-14 |