| NPI | 1104668755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISSA XU Manager 646-708-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |