| NPI | 1659012193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY ASTILL Member 202-421-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |