| NPI | 1144837022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL EMILIO ALVAREZ Owner 727-614-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2024-06-01 |