| NPI | 1730692906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK PETERSON Owner 661-714-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-13-15033) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |