| NPI | 1871092700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA G LONG Behavior Analyst 571-247-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000216) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |