| NPI | 1417652835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE D BOLDEN Bcba/Owner 813-512-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-06-08 |