| NPI | 1255153623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SOLOWAY Clinical Director & Owner 904-868-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |