| NPI | 1265864276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERION KODRA Owner 508-955-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2021-07-28 |