| NPI | 1790345486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SHRIVER Clinical Director 443-690-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |