| NPI | 1720334766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT OPELL Aba Teacher 516-220-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 1839) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 183) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |