| NPI | 1811683394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANINA NAKDIMEN Owner 848-226-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2026-02-05 |