| NPI | 1881313732 |
|---|---|
| Doing Business As | VIDA BEHAVIORAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | REINIER DE LA TORRE RODRIGUEZ Owner 281-738-8977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |