| NPI | 1407357593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA FRASER Early Intervention/Si Aba Therapist 917-873-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-06-08 |