| NPI | 1043965346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L JONES Administrative Director 786-848-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-12-08 |