| NPI | 1104596105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORGIS GONZALEZ REINOSO President 786-424-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2026-02-23 |