| NPI | 1942986724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA WAITE Executive Director 984-212-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 171R00000X Interpreter | |
| 222Q00000X Developmental Therapist | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |