| NPI | 1982233284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARY SULLIVAN Owner 786-612-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |