| NPI | 1922718683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNE MAE HARTMAN Owner 480-510-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-04-10 |