| NPI | 1417558651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE ALFONSO Electrologist 561-623-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |