NPI 1669110417 · live from the CMS NPI Registry
1 Source Holdings, LLC
Behavior Analyst in Naples, FL. National Provider Identifier 1669110417, active.
NPI record
| NPI | 1669110417 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4851 Tamiami Trl N Ste 200, Naples, FL 34103 |
| Practice phone | 619-865-2400 |
| Enumerated | May 23, 2022 |
| Last updated | May 23, 2022 |
| Authorized official | Brian Twigger, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.