| NPI | 1487915948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L. BERG Clinical Director 305-822-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-03-1183) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL sw6104) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW6104) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |