| NPI | 1588021679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO LEAL Clinical Supervisor 786-306-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL MT2528) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2023-06-20 |