| NPI | 1710242870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PATRICK DOUGLAS Owner/Director 203-292-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0-14-5069) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CT 1-11-8521) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-02-28 |