| 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 |