| NPI | 1396423653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE WALTERS Clinical Director 239-986-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-09-26 |