| NPI | 1134482664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN FAIX Aba Therapist 718-239-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 700656) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |