| NPI | 1871196709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HANSEN REISINGER Owner/Manager 757-621-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |