| NPI | 1831420033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDERICO NICHOLAS COO 407-530-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency (Licence: FL PT22445) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2023-07-25 |