| NPI | 1992254882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SCULTHORPE Practice Manager 813-763-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2025-10-21 |