| NPI | 1407484884 |
|---|---|
| Other Name | PRODIGY AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | WARREN BATES President 321-480-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2022-03-04 |