| NPI | 1679360408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AI-IANA MASADYKOVA Owner 470-336-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |