| NPI | 1407399660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE WONG Clinical Director 203-884-1268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-07-24 |