| NPI | 1104398122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY RAY Owner/Member 850-368-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |