NPI | 1295067593 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA L HOLLADAY Board Certified Behavior Analyst 863-937-8067 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-04-1686) |
Enumeration Date | 2010-02-11 |
Last Update Date | 2016-05-20 |