| NPI | 1902395122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BROWN Clinical Director 954-336-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-28329) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |