| NPI | 1922718683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNE MAE HARTMAN Owner 480-510-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2026-02-03 |