| NPI | 1912799891 |
|---|---|
| Former Legal Business Name | HOMESTEADABA |
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH TIESZEN Owner/Behavior Analyst 307-226-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |