| NPI | 1336418417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DENISE SPARKMAN Owner/Bcba 813-525-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 11898) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-07-3280) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2014-05-01 |