| NPI | 1972135606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DIXON Bcba D 314-275-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2024-04-16 |