| NPI | 1730021171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKESHA BLAKE CFO 407-287-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-08-10 |