| NPI | 1366276602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARON GRANT INATOME Board Certified Behavior Analyst 239-784-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |