NPI | 1144882598 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELLE M GARCIA Owner 239-888-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-07-06 |
Last Update Date | 2019-11-04 |