| NPI | 1982045290 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMADA TRO Owner 305-794-1623  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7641)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10137)  | 
| 106H00000X Marriage & Family Therapist (Licence: FL MT2438)  | |
| Enumeration Date | 2013-07-15 | 
| Last Update Date | 2020-11-05 |