NPI | 1548864556 |
---|---|
Entity Type | Organization |
Authorized Contact | REYDEL LOPEZ MENDEZ President 786-269-8757 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 261Q00000X |
261QM0801X | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2020-11-30 |
Last Update Date | 2021-01-28 |