| NPI | 1114285194 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VIRGINIA ROSE GREENBLATT Clinical Director, Bcba 954-260-3234 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2012-04-27 | 
| Last Update Date | 2013-06-21 |