| NPI | 1023699634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA COHEN Authorized Official 718-998-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |