NPI | 1811793607 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL SEBBAG Provider 347-770-4032 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 103K00000X Behavior Analyst |
103T00000X Psychologist | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
Enumeration Date | 2025-02-21 |
Last Update Date | 2025-02-21 |