NPI | 1649986688 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA L GOMEZ Credentialing Manager 512-551-1717 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-01-24 |