| NPI | 1023386026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK G MEDINA President 787-646-8149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 17743) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PR 17743) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |