| NPI | 1528869534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIA DAVIS Owner 954-822-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-29 |