| NPI | 1134751696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NARRA Behavior Analyst 631-368-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-13 |