| NPI | 1336522515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE SOTELO Program Director 561-625-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BACB1-11-8447) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: FL 03991) |
| 225X00000X Occupational Therapist (Licence: FL 14230) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA6361) | |
| 101YM0800X Counselor, Mental Health (Licence: FL NH 8400) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-06-23 |