| NPI | 1609284553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W GRENNELL Owner/Director 321-356-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1095629) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |