| NPI | 1184425803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TALIAFERRO Owner 727-871-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-20 |