| NPI | 1902307903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HARPER Owner 317-331-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-188) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6270) |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2018-09-26 |