| NPI | 1730988320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE SHARP Organizer 870-243-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |