| NPI | 1982075495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MATTESON Office Manager 401-270-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 11313152) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |