| NPI | 1710630728 |
|---|---|
| Former Legal Business Name | POLK |
| Entity Type | Organization |
| Authorized Contact | AMY WLODAWSKI MORRIS Owner 863-712-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |