| NPI | 1235936774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA REVORD Owner 561-934-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-05 |