| NPI | 1487070744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN BOLT Senior Behavior Analyst 904-824-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-13-5635) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |