NPI | 1962914465 |
---|---|
Former Legal Business Name | VILLAGE BEHAVIOR ANALYSIS, LLC |
Entity Type | Organization |
Authorized Contact | CAITLIN H DELFS Owner, Executive Director 404-840-2228 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003346) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2017-10-25 |
Last Update Date | 2017-11-02 |