| NPI | 1811347081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LIVANIS Psychologist And Behavior Analyst 718-564-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000501) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 020) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 020334) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |