| NPI | 1760889117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LOMAS Owner 561-508-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1073722) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2019-03-29 |