| NPI | 1376996116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS WACHS Director 267-800-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 174400000X Specialist | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225CX0006X | |
| 225X00000X Occupational Therapist | |
| 231H00000X Audiologist | |
| 231HA2400X Audiologist, Assistive Technology Practitioner | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2019-08-07 |