| NPI | 1720802986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA MARIE GRAHAM Executive Director 848-888-3204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |