| NPI | 1255008165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONASON LEVIN Director 888-238-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-11-23 |