| NPI | 1619866175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA IVETTE PINA CEO 786-376-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |