| NPI | 1629792874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA HASKINS Owner 360-301-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |