| NPI | 1013470483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SANGER Manager/Owner 863-944-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |