| NPI | 1790440634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE R DAMICO Bcba/Owner 757-717-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QV0200X Clinic/Center VA | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |