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 |