| NPI | 1073301586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MCGUINNESS Speech Language Pathologist 718-304-6977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 163W00000X Registered Nurse | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-04-26 |