| NPI | 1801265111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DALTON PAGE Behavioral Analyst 434-509-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000656) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |