| NPI | 1891677258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHEENA HOGUE Board Certified Behavior Analyst 567-868-6924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |