| NPI | 1417553900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YECHESKEL HALBERSTAM Officer 866-352-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-11-06 |