| NPI | 1700662137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN KESHERIM Partner 516-670-5374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-10-17 |