| NPI | 1497117683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIUVA CRUZ DUQUE Authorized Official 786-389-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SA14278) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-10-13 |