| NPI | 1932801495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LIVANIS P 718-564-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |