| NPI | 1013605880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN FAKHREDDINE Director 301-385-1784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-11-07 |