| NPI | 1053191114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SEBBAG Owner 917-957-5268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2025-02-21 |