| NPI | 1972135473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA STEELE Billing/ Credentialing Manager 940-255-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 224Z00000X Occupational Therapy Assistant | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| 225100000X Physical Therapist | |
| 106S00000X Behavior Technician | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-17 |