| NPI | 1093555757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA TORRES CEO 786-395-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |