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 |