| NPI | 1740931708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN PLATTER Owner 928-208-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-11-07 |