| NPI | 1285482059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SWANSON Advisor 813-777-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |