| NPI | 1699591271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS KENT Bcba 857-500-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |