| NPI | 1639901234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ARESCO Founder/Bcba 860-316-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-09-04 |