| 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 |