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 |