| NPI | 1710440268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA KELLERMAN Co Owner 703-973-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-05-27 |