| NPI | 1689325375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD REX LADRIDO KINTANAR Ownet 617-444-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |