| NPI | 1750258208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KLEIN Manager 516-639-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-11-07 |