| NPI | 1487034641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BROWN-SURMOLIAN President 203-267-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1-12-10033) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-22 |