| NPI | 1700671385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEVIA RENA ANTHONY Board Certified Behavior Analyst 954-483-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |