| NPI | 1548757693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA LEA ALE CEO / Owner 904-503-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-06-3134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13635) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2022-03-02 |