| NPI | 1821866559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHYRA MYERS Registered Agent 301-523-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |