| NPI | 1093449993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS UZCATEGUI Manager 305-720-9142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TC0700X Psychologist, Clinical | |
| 101YP1600X Counselor, Pastoral | |
| 103TP0814X Psychologist, Psychoanalysis | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2026-01-27 |