| 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 |