| NPI | 1881022606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSHREE PATEL Executive Director 631-374-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-13-13319) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |