| NPI | 1447962709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE GIL Owner 305-903-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2026-01-02 |