| NPI | 1790231645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ROLON Aba Therapist 718-404-1652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 103K00000X) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |