| NPI | 1083220966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIANNE HERNANDEZ QUIALA Owner 786-909-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-23 |