| NPI | 1326765728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN N BLANCO Owner 786-278-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |