| NPI | 1285475467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LAX Director 917-864-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-08-22 |