| NPI | 1043896525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER GUARCH Administrator 786-709-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |