| NPI | 1144069741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE COLEMAN Owner 424-261-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-07-29 |