| NPI | 1861128027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OOSHIE OLDHAM CEO 866-342-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103TC0700X Psychologist, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |