| NPI | 1184120776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE M MURRAY-GRAY Excutive Director 386-457-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: FL 1-13-13430) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-05-18 |