| NPI | 1902423460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ARTEAGA Credentialing Manager 305-479-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-01-08 |