| 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 Community/Behavioral Health | 
| 252Y00000X Early Intervention Provider Agency (Licence: FL 014487800)  | |
| Enumeration Date | 2015-03-10 | 
| Last Update Date | 2025-05-29 |