| NPI | 1922487404 |
|---|---|
| Former Name | STACY COHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001404) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2023-08-07 |