| NPI | 1417325374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENROY PATRICK PATTERSON Manager 321-914-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 11211741) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |