| NPI | 1578282059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMERY D MORALES MARTINEZ Manager 407-486-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-09-09 |