| NPI | 1669174132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORELAND Chro 765-423-5531 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-11-28 |