| NPI | 1053955856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN EDWARD STREETMAN Owner 813-926-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-20 |