| NPI | 1649826918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WILLIAMS Member/Owner 917-939-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |