| NPI | 1326672932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILISSA YEAGLEY VP Of Clinical Operations 321-348-8359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |