| NPI | 1790146462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON OWEN CEO 470-816-6449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2022-11-10 |