| NPI | 1952945115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIGAIL KEMMOUN Bcba 848-207-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-01-13 |