| NPI | 1104532076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE R DAMICO Owner 757-717-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |