| NPI | 1437005337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHILANDE TASSY Owner 786-916-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-06-12 |