| NPI | 1619553963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STEVENS COO 602-413-5397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-06-05 |