| NPI | 1003564972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVKA FREUNDLICH Otr/L 845-642-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |