| NPI | 1992299820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA JAMISON Licensed Behavior Specialist 215-300-0691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH001312) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |