| NPI | 1902593015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA COLEMAN Owner 540-583-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |