| NPI | 1891176343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAT WATSON Office Manager 865-686-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-08-25 |