| NPI | 1396253613 |
|---|---|
| Former Legal Business Name | MIAMI LAKES BEHAVIORAL SERVICES CORP |
| Entity Type | Organization |
| Authorized Contact | MAYLIN BATISTA Clinical Director 786-907-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |