NPI | 1043806854 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW HOLDER Co Founder 917-608-5519 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2020-12-15 |
Last Update Date | 2021-04-14 |