| NPI | 1447750153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY N MOMANYI President 917-250-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 251S00000X | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |