| NPI | 1295323772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL LEON President 786-413-8980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-11 |