| NPI | 1619492253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MICHELLE WILBURN-BECKHOM Program Director 229-439-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-03-1465) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |