| NPI | 1972275907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNYA JULIUS Owner/Behavior Analyst 208-403-8576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-12-03 |