| NPI | 1790331841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY AMERSON Credentialing Specailist 706-739-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-09-15 |