| NPI | 1245567601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN CORNWALL Executive Director 239-352-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL 1-00-0098) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2021-10-26 |