| NPI | 1376839613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO DISTEFANO President 631-864-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-07-3602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 065635-1) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |