| NPI | 1003567975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA LEVY President 347-237-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |