| NPI | 1730951559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON DANIEL Owner 786-442-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |