| NPI | 1750097911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL TERKELTAUB Member 848-240-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-06-12 |