NPI | 1669139119 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKAEL DWAYNE SIMPSON Owner 832-573-6199 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
261QP2000X Clinic/Center Physical Therapy | |
261QX0100X Clinic/Center Occupational Medicine | |
Enumeration Date | 2021-11-19 |
Last Update Date | 2021-11-19 |