| NPI | 1992295745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN VANMEERTEN Manager/Member 928-607-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-72) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |