| NPI | 1124730122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRE VIVAS Clinical Director 786-942-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2023-01-05 |