| NPI | 1255904157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASHIRA N MARTINEZ Owner 239-841-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-10-21 |