NPI | 1346052354 |
---|---|
Former Legal Business Name | BAMBOO BEHAVIORAL SERVICES LLC |
Entity Type | Organization |
Authorized Contact | ADRIANA P ZULUAGA AGUILAR Owner 786-515-7794 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Enumeration Date | 2025-01-25 |
Last Update Date | 2025-01-25 |