| NPI | 1356023410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA D MCKENZIE Board Certified Behavior Analyst 929-551-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |