| NPI | 1134918477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE RESTO Co Owner 813-407-8435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2025-05-03 |
| Last Update Date | 2025-07-03 |