| NPI | 1679381701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BLAKE CEO/Owner 989-324-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |