| NPI | 1780931121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA KHONONOV Aba Therapist 646-529-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |