| NPI | 1821463597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN REESE BOAN Board Certified Behavior Analyst 706-575-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AL 1-14-17802) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |