NPI | 1972179257 |
---|---|
Entity Type | Organization |
Authorized Contact | NIKKI ORTEGA Credentialing Manager 917-397-1502 |
Organization Subpart ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
106H00000X Marriage & Family Therapist | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
101YM0800X Counselor, Mental Health | |
103K00000X Behavior Analyst | |
1041C0700X Social Worker, Clinical | |
106E00000X Assistant Behavior Analyst | |
Enumeration Date | 2021-05-27 |
Last Update Date | 2023-02-16 |