| NPI | 1871484238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIFRA LEVI Clinical Supervisor 917-272-3759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2026-06-15 |