| NPI | 1811726185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIONA NICOLE AUTRY Owner 910-691-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |