| NPI | 1679920326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKETRA MILLER-JOHNSON Owner 954-590-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-08-4450) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |