| NPI | 1770249559 |
|---|---|
| Former Legal Business Name | SHAPE BEHAVIORAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | ALEX KISS Director 423-281-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-06-05 |