| NPI | 1922986900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAYA WAXMAN Owner 848-210-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2026-02-01 |