NPI | 1215749163 |
---|---|
Doing Business As | STRONGBRIDGE AUTISM CENTRE |
Entity Type | Organization |
Authorized Contact | OLUGBENGA OBAJUWONLO Md 702-541-4817 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-01-27 |