| NPI | 1174891048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MILLER Managing Supervisor 850-348-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-07-3498) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |