| NPI | 1265134548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULAIDY LOPEZ Ot 786-812-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-06-11 |