| NPI | 1760145379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORINDA JEANNE ROY MORENO Owner/Manager 239-235-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2025-10-11 |