NPI | 1134764376 |
---|---|
Entity Type | Organization |
Authorized Contact | JACLYN BAISLEY M.S.Ccc Slp 845-537-0327 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 103K00000X Behavior Analyst |
222Q00000X Developmental Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2023-04-13 |