| NPI | 1477830503 |
|---|---|
| Doing Business As | PENINSULA SCHOOL FOR AUTISM |
| Entity Type | Organization |
| Authorized Contact | SYDNEY RANDALL JOHNSON MROWIEC Executive Director 757-223-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |