| NPI | 1730876384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSELIN GUERRA Bcba 786-340-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-03-04 |