NPI | 1639634025 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON CORNELL Director 407-848-6912 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician | |
224Z00000X Occupational Therapy Assistant | |
225XP0200X Occupational Therapist, Pediatrics | |
Enumeration Date | 2019-02-10 |
Last Update Date | 2019-02-10 |