| NPI | 1811853633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICE CLAYTON Operations Manager 786-267-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| 261Q00000X Clinic/Center | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-12-25 |
| Last Update Date | 2026-05-04 |