NPI | 1669075818 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW HOLDER Owner 917-608-5519 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 251S00000X |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2020-11-19 |
Last Update Date | 2021-04-14 |