| NPI | 1720700107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE LANCASTER Co Owner 573-380-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |