| NPI | 1255980629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ARTEAGA Credentialing Supervisor 305-479-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-05-17 |