| NPI | 1902463276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SAMANTHA BERTELSON Supervising Bcba, Lpa I 940-386-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-04-26 |