| NPI | 1194269415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL LOPEZ MURILLO Member 888-909-8741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-10-6815) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |