| NPI | 1780122218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIPSI MARTIN Mgr 954-866-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2024-05-10 |