| NPI | 1902119696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN DWIGGINS Executive Director 614-336-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-05-2208) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |