| NPI | 1477236263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENNA MUTZEN Owner/Manager 917-626-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-03-15 |