| NPI | 1134406887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ZALIS Member/Managing Director 203-622-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003422) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 001840) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |