| NPI | 1861858847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY NICOLE BELL Owner 904-728-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11466) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-07-29 |