NPI | 1619637147 |
---|---|
Entity Type | Organization |
Authorized Contact | DONTA HALLMON Board Certified Behavior Analyst 762-622-8360 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-12-23 |
Last Update Date | 2023-11-17 |