| NPI | 1629315080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA E KINNEBREW President 888-958-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA093) |
| 103K00000X Behavior Analyst (Licence: VA 0133000312) | |
| Enumeration Date | 2013-01-05 |
| Last Update Date | 2016-05-18 |