| NPI | 1639955420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DIXON Bcba D 314-275-0506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |