| NPI | 1659188670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYLANDA T TOTTRESS Owner 817-938-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |