| NPI | 1649649989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M WEIL Owner/Clinical Director 813-388-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-04-1653) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |