NPI | 1437662814 |
---|---|
Entity Type | Organization |
Authorized Contact | JAISEN STANGO Vice President 267-908-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC010741) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH002146) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2017-11-08 |