| NPI | 1992068241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA DIETSCH-VAZQUEZ Owner 786-774-7729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BACB 1-08-4716) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 11239) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-02-06 |