| NPI | 1851009054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR HASSANE Clinical Director 352-667-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-10-10 |