| NPI | 1366090904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE TAO Owner 786-206-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-09-26 |