| NPI | 1679392880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMICHAELLE JOSEPH Owner 810-262-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-07 |