| NPI | 1912467788 |
|---|---|
| Former Legal Business Name | ANN MARIE WANLISS |
| Entity Type | Organization |
| Authorized Contact | ANN MARIE WANLISS Director 954-652-8613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-02-10 |