| NPI | 1710415450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KRISTINE BUSH President 407-963-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-02-0748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL mh7556) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |