| NPI | 1699248815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE DUKES Owner 706-302-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2022-08-15 |