| NPI | 1962949867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISSEL CHANG Owner 786-317-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-04-02 |