| NPI | 1942881560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA SUESS Authorized Official 701-770-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |