NPI | 1639749435 |
---|---|
Doing Business As | LITTLE STAR ABA |
Entity Type | Organization |
Authorized Contact | CHRIS KIRK VP Of Insurance 317-249-2242 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 103K00000X Behavior Analyst |
251S00000X | |
Enumeration Date | 2021-06-25 |
Last Update Date | 2023-01-17 |