| NPI | 1790008878 |
|---|---|
| Former Legal Business Name | PEDIATRIC BEHAVIORAL SERVICES, LLC |
| Other Name | PBS |
| Entity Type | Organization |
| Authorized Contact | ALYSIA GILLIAM Board Certified Behavior Analyst 904-329-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2019-02-28 |