| NPI | 1588244529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM DEMING Manager 813-679-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-20 |