| NPI | 1902113012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HEALD Executive Director 800-778-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing (Licence: NH 0435) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: NH 0435) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2018-05-30 |