| NPI | 1306361183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO C NIEBLA Administrator 786-502-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-08-02 |