| NPI | 1477005379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH DOMINGUEZ President 772-257-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-16-21334) |
| 106S00000X Behavior Technician (Licence: FL 16-14411) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-03-29 |