| NPI | 1730642117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA PINKHASOVA Executive Director 424-400-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-11-09 |