| NPI | 1174916563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE ALEXIS LOTTMAN Owner 407-687-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency (Licence: FL 014487800) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2022-07-25 |