| NPI | 1073289948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRNA GRANADOS President 305-362-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |