| NPI | 1417495268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYSI CASANOVA Owner 786-797-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |