| NPI | 1760937981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO M HERNANDEZ Owner 813-443-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL HCC10384) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-03-20 |