| NPI | 1992092654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEWIS Director Of Center Development 202-992-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-03-1325) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 4416) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2026-03-05 |