| NPI | 1730806233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MANRIQUE Vice President 786-296-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-11-22 |