NPI | 1932867322 |
---|---|
Former Legal Business Name | SHAPE BEHAVIORAL SERVICES LLC |
Entity Type | Organization |
Authorized Contact | ALEX KISS Director 423-281-4333 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
106S00000X Behavior Technician | |
251S00000X | |
Enumeration Date | 2021-12-02 |
Last Update Date | 2023-06-05 |