| NPI | 1114810868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA THOMPSON Clinical Director 904-451-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |