| NPI | 1841177094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE BAUTISTA Owner 954-932-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-09-10 |