| NPI | 1386417921 |
|---|---|
| Former Legal Business Name | MAM BEHAVIOR THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | MARYURI LAZARA MAYEDO PEREZ Owner 786-479-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |