NPI | 1740813088 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA ROSS Credentialing Coordinator 678-894-1116 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2020-02-14 |
Last Update Date | 2024-06-26 |