| NPI | 1851982037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE LEE Member 470-589-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |