NPI | 1356933022 |
---|---|
Entity Type | Organization |
Authorized Contact | HUMBERTO MUNOZ President 239-258-0775 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center | |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-02-04 |