| NPI | 1174361711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FELICIANO Behavior Analyst 571-289-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-24 |