| NPI | 1104699149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINA RIVERA Owner 401-368-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-09-15 |