| NPI | 1164399028 |
|---|---|
| Doing Business As | BRAIN BALANCE CENTER OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | JESSICA WICK Owner 904-822-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-24 |