| NPI | 1679311005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA CLARDY Owner 662-205-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-11-01 |