| NPI | 1164861928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYDRIEN L CATHCART Bcba 860-830-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2023-03-02 |