| NPI | 1508670811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WILSON Owner 813-418-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |