| NPI | 1952837346 |
|---|---|
| Other Name | ORIGINS DEVELOPMENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON SHAW Chief Operating Officer 260-483-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |