| NPI | 1760106793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TYLER OWENS Executive Director 539-240-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |