| NPI | 1477054419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DOMENIC AMATO Accountant/ Do 774-213-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-03-19 |