| NPI | 1740079524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PEAT Owner 850-324-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |