| NPI | 1679229819 |
|---|---|
| Doing Business As | PREMIER PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | CARLA MOON Agency Admin 832-539-1632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-10-11 |