| NPI | 1154148625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOCHEVED WASSERMAN Director 475-289-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2026-09-03 |