| NPI | 1992163315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN MERCIER COOKSEY Bcba/Owner 941-737-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |