| NPI | 1679972871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN LEIGH TINDELL Owner 254-760-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64928) |
| 103K00000X Behavior Analyst (Licence: 1096697) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-03-14 |