| NPI | 1881135580 |
|---|---|
| Doing Business As | RAEON BRYAN |
| Entity Type | Organization |
| Authorized Contact | AUDREY WATSON CEO 813-438-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 103K00000X) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |