| NPI | 1609513886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LORIE President 786-316-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-03-21 |