| NPI | 1588155568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA COLALUCI Owner 239-200-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2021-11-03 |