| NPI | 1831558790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY HERNANDEZ Behavior Analyst 574-217-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-19305) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |