| NPI | 1568908333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILSY DIAZ VP 786-503-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 222Q00000X Developmental Therapist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2021-01-27 |