| NPI | 1104613785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUDEL LA O CEO 786-852-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-05-20 |