| NPI | 1780411124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SHAE BOYD Owner 602-930-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |