| NPI | 1710462916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MCMEANS BENNETT Associate Licensed Counselor 334-382-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |