NPI | 1629461405 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN BUSH Practice Manager 678-974-2162 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103T00000X Psychologist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2015-03-18 |
Last Update Date | 2024-10-31 |