| NPI | 1790209526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL EDMONDS Behavior Analyst 540-623-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000789) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |