| NPI | 1427618503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWANA JACOBS Director 386-717-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |