| NPI | 1619221108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MICHELLE SZYMANSKI Director 518-596-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-10-7758) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |