| NPI | 1699399923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAITRI SHAH Owner 346-381-4963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2022-04-18 |