| NPI | 1295404788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DAVY DICKENS Owner 352-234-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-10-12 |