| NPI | 1487155560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGO BERGSTEINSSON Owner 860-716-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-06-11 |