| NPI | 1932868064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KNOLL Executive Manager 347-564-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |