| NPI | 1700379252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARELIA CARRALERO CORELLA Onwer 786-663-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL MA60371) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2024-06-14 |