| NPI | 1881329019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMIE GANT Speech Language Pathologist 813-586-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-07-07 |