| NPI | 1972060804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZNEY SIEVERT Sole Mbr 305-492-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |