| NPI | 1093546285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL JIMENEZ Chief Operating Officer 718-973-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2026-01-16 |