| NPI | 1932658838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAEEMA BURGESS Owner/Director 336-430-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist School | |
| 106E00000X Assistant Behavior Analyst | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-05-06 |