| NPI | 1285140608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DOMINICK Owner, CEO 570-954-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2018-05-23 |