| NPI | 1659794345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HOUCK Owner 469-585-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-6597) |
| Additional Taxonomies | 251S00000X (Licence: 1-09-6597) |
| 253Z00000X In Home Supportive Care (Licence: 1-09-6597) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |