NPI | 1891492179 |
---|---|
Entity Type | Organization |
Authorized Contact | KSENIA SHUSHERINA President 917-549-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2023-02-08 |
Last Update Date | 2025-09-18 |