| NPI | 1982059069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY R FORZLEY Board Certified Behavior Analyst 574-383-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-21690) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |