| NPI | 1194516104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA QUINONES COO 346-370-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-07-28 |