| NPI | 1164007555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAI DIAZ Bcba 813-369-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2026-09-25 |