| NPI | 1376189423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL A MAALE Executive Director 561-291-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |