NPI | 1710862214 |
---|---|
Entity Type | Organization |
Authorized Contact | KYONG CHOE Administrator 346-265-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-08-06 |