| NPI | 1760135511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMCHA BENDET Director 347-977-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |