| NPI | 1053649830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTIN BULLOCK Executive Director 850-583-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-05-2521) |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2009-12-06 |