| NPI | 1326411968 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SAYLY GONZALEZ Licensed Clinical Social Worker/Own 786-326-2888  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL SW12880)  | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2015-11-04 | 
| Last Update Date | 2025-02-25 |