| NPI | 1124489638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR TOLMACH CEO 347-921-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2023-05-23 |