| NPI | 1922672351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MULLIGAN Owner 954-842-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |