NPI | 1518400936 |
---|---|
Entity Type | Organization |
Authorized Contact | BLANCA ROSA ONETTO Clinical Director 954-321-3595 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8728) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 12165) |
Enumeration Date | 2016-12-02 |
Last Update Date | 2025-01-10 |