| NPI | 1710477484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KRAMER Executive Director 904-556-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1366884009) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-08-13 |