| NPI | 1740571355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY VALENCIA LENOIR Behavior Analyst 786-312-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-11-8039) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL 1-11-8039) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |