| NPI | 1619571056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAWERU Owner 508-335-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-12-11 |