| NPI | 1629518451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE TULL Owner 954-701-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-03-06 |