| NPI | 1770449688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE RICARDO DIAZ Program Admin 347-921-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |