| NPI | 1528984465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MCLEAN MINARD Owner 813-602-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-09-24 |