| NPI | 1811456890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE SIMON President 631-213-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-09-16 |