| NPI | 1457940546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIGAIL KEMMOUN CEO/ Owner 848-207-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 104100000X Social Worker |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |