| NPI | 1750173894 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISSETT M RODRIGUEZ AGUILERA Owner 786-542-5056 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| Enumeration Date | 2025-05-22 | 
| Last Update Date | 2025-05-22 |