| NPI | 1699359372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE CODDINGTON COO 972-400-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-03-25 |