| NPI | 1619379542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE EILEEN WALLS Owner/Clinical Director 423-322-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-12-11707) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |