| NPI | 1952779977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH HUMPHERY Psychiatrist 786-664-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-13-14627) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8545) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |