| NPI | 1992599278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SYSOVA CEO 904-945-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-10-22 |