| NPI | 1588332449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORELLE RICCO Owner 646-529-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-09-16 |