| NPI | 1225819386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS MARTINEZ GRILLO Analyst 786-865-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |