| NPI | 1245863885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIMMA TARASOVSKY CEO 551-800-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |