| NPI | 1154918324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANA GRAY Owner 401-270-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-10-27 |