| NPI | 1326760729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIKA SILLERY Director 860-944-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |