| NPI | 1992161699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHELDON Executive Director 774-205-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1107856) |
| 103K00000X Behavior Analyst (Licence: MA 156) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-03-15 |