| NPI | 1740889823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICCA BROCK Behavior Analyst 901-606-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |