| NPI | 1629787957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON FREIER President 734-612-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-06-05 |