| NPI | 1083048433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WHEAT Behavior Analyst 850-572-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0537) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 70506) |
| 251S00000X (Licence: FL 0537) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |