| NPI | 1659774842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE M GLOVA Owner, Executive Director 904-425-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-12871) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |