| NPI | 1881941474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA BALTAR CALDWELL Owner/Manager 571-332-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 11210152) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2016-10-26 |