| NPI | 1659060820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA WILLIAMSON Registered Behavioral Technician 334-804-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |