| 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 |