| NPI | 1346968658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GRASSINI Admin 747-202-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-03-21 |