| NPI | 1356102164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUKENSON BERNARD CEO 347-342-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |