| NPI | 1093426421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT TROY SANTOS CEO 201-572-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |