| NPI | 1518782101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LOPEZ President 786-365-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |