| NPI | 1962182543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELISIA JEMAE THOMPSON Board Certified Behavior Analyst 952-393-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |