| NPI | 1184071060 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MORAIMA ALFONSO Behavior Assistsnt 786-548-7228  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL RBT-15-05298)  | 
| Enumeration Date | 2016-05-19 | 
| Last Update Date | 2016-05-19 |