| NPI | 1912587817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN BAKER Office Manager 775-825-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |