| NPI | 1174928931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL EDWARD STREETMAN President 813-205-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-14-15276) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2015-11-24 |