| 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 |