| NPI | 1659017507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY HODGE Owner 317-452-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2023-11-01 |