| NPI | 1629566351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE KUZDAL Administrative Manager 520-500-7505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |