| NPI | 1881131753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA ROE, JORDAN Behavior Analyst/ Owner 727-327-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL BACB268792) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-02-01 |