| NPI | 1881263010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GREENE Owner 407-639-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-09-05 |