| NPI | 1316567316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ZERVOUDAKIS Clinical Operations 954-254-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-07-01 |