| NPI | 1417470436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROSE BLOOM Owner/President 954-856-6926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-14404) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |