| NPI | 1871450528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ILYABAYEVA Behavioral Therapist 347-869-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |