| NPI | 1699391136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIFFAH AZZAAM Owner 302-307-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2023-01-08 |