| NPI | 1134604440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE SEMONE EDMUND Aba Therapist 917-498-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |