NPI | 1508314584 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA ZELLER Owner, Board Certified Behavior Ana 407-380-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251300000X Local Education Agency (LEA) |
251X00000X Supports Brokerage | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2016-09-19 |
Last Update Date | 2016-09-19 |