| NPI | 1316607351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHAY Finance Manager 718-769-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 1041C0700X Social Worker, Clinical | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |