| NPI | 1336882422 |
|---|---|
| Doing Business As | ENRICHED CHILDHOOD LEARNING & BEHAVIOR THERAPY LLC |
| Former Legal Business Name | ENRICHED LEARNING & BEHAVIOR THERAPY |
| Entity Type | Organization |
| Authorized Contact | BETTY ALSIP Provider 239-603-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2022-04-16 |