| NPI | 1851248371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MOORE Owner / Provider 917-873-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2026-03-13 |
| Last Update Date | 2026-03-13 |