| NPI | 1124637996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIETT BACARO MARRERO Owner 786-571-0939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-01-05 |