| NPI | 1720487226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TERRELL NICHOLSON Licensed Behavior Analyst 318-243-6962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-063) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |