| NPI | 1932086022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN Owner 252-578-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-12-11 |