Kelli-Jean Natasha Williamson, DOH service provider
Early Intervention Provider Agency in Bronx, NY. Individual provider (NPI-1).
NPI number1679136014
StatusActive
Last updated in NPPESApr 22, 2019
Details
- NPI
- 1679136014
- Entity type
- Individual (NPI-1)
- Name
- Kelli-Jean Natasha Williamson
- Credential
- DOH service provider
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2019
- Last updated
- Apr 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Other names
- Kelli-Jean Natasha Dallas (Professional Name)
Practice location
852c Leland AveBronx, NY 10473-2866
Phone 347-615-1977
Mailing address
852c Leland AveBronx, NY 10473-2866
Phone 347-615-1977
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All 281 Early Intervention Provider Agency providers in Bronx · All 38,045 providers in Bronx
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