| NPI | 1730825720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENICE REYES CEO 817-269-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |