| NPI | 1992673800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DONOVAN Managing Member 360-909-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |