| NPI | 1710493903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM LEVY Bcba , Lba 718-757-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 0006333) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |