| NPI | 1760959779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYLLIN ALONSO DELGADO Owner 786-681-8494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2022-03-24 |