| NPI | 1124634050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV BOLANDOS PORRAS President 786-250-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-10-11 |