| NPI | 1578166567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HOLDER CEO 917-608-5519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-03-20 |