| NPI | 1013468008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA H PEREZ Owner 786-450-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13325) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-04-26 |