| NPI | 1811467236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TZODIK WEINBERG Member 862-249-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 251S00000X Community/Behavioral Health | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |