| NPI | 1982486700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M T Authorized 770-742-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2025-12-04 |