| NPI | 1942667423 |
|---|---|
| Doing Business As | PRESTIGE BEHAVIORAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANNIE BOUCHEREAU President 954-925-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2022-11-14 |