| NPI | 1629761267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETYRA TIMAE WILSON Register Behavior Technician 786-366-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |