NPI | 1467933770 |
---|---|
Doing Business As | FIRST DOMINO PEDIATRIC BEHAVIOR THERAPY |
Entity Type | Organization |
Authorized Contact | ROCCO CATRONE Clinical Director 708-268-1766 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-16-22588) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-08-24 |