Organization · NPI-2
Above And Beyond Early Intervention LLC
Early Intervention Provider Agency · Bronx, NY
NPI number1730889346
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1730889346
- Entity type
- Organization (NPI-2)
- Legal business name
- Above And Beyond Early Intervention LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2023
- Certification date
- Feb 24, 2023
- Last updated
- Mar 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
1005 Adee AveBronx, NY 10469
Phone 914-319-7528
Mailing address
228 Park Ave S # 799153New York, NY 10003-1502
Phone 914-319-7528
Authorized official
Aisha N Wilson
Owner
9143197528
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