| NPI | 1902558547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE GOODMAN Principal Owner 317-799-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |