| NPI | 1740522739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LEE WALSH Manager 775-354-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-04-17 |