| NPI | 1942985171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYGE ORZEL Chief Clinical Director 877-262-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106E00000X Assistant Behavior Analyst | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-12-26 |