| NPI | 1902253388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TREST Owner 571-970-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2026-09-18 |