| NPI | 1942814991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANEYSI GARCIA Manager 407-501-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-07 |