| NPI | 1881113629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ERIN CONNELLY COO Of Clinical Program Development 321-265-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-04-2044) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |