| NPI | 1407651276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BREIDENSTEIN Director Of Finance 904-824-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 172A00000X Driver | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |