1 Source Holdings, LLC
Behavior Analyst in Naples, FL. Organization (NPI-2).
NPI number1669110417
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1669110417
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Source Holdings, LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2022
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
4851 Tamiami Trl N Ste 200Naples, FL 34103-3098
Phone 619-865-2400
Mailing address
4851 Tamiami Trl N Ste 200Naples, FL 34103-3098
Authorized official
Brian Robert Twigger
President
6198652400
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