| NPI | 1366055121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LEITAO Owner 973-617-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-02 |