| NPI | 1134638638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS JOSE MARTINEZ Owner 786-447-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician (Licence: FL RBT-16-24924) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |