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 |