| NPI | 1760088314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE M TORRES AVILA Administrator 719-924-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |