| NPI | 1275253676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA M HERNANDEZ Owner 239-848-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |