| NPI | 1700464393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MPHO TAU SELLO Owner/Operations Manager 862-213-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2023-08-28 |