Early Childhood Program
Organization Active NPI Developmentally Disabled Services Day Training Agency · Tappan, NY
NPI 1013204841 · NPPES record last updated Jun 30, 2011
Key facts
- NPI
- 1013204841
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- EARLY CHILDHOOD PROGRAM
- Practice address
- 140 Lester Dr
Tappan, NY 10983-1217 - Phone
- (845) 680-1325
- Fax
- (845) 680-1922
- NPI assigned
- Jun 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Jeannine Carr
- Title
- Coordinator Early Childhood Program
- Phone
- (845) 680-1325
Corporate family (same tax ID) 1
Practitioners 7
-
Allison Nicole Beer, M.A. CCC/SLP
-
Beth Jaret, PHD
-
Ellen S. Kriegel, SLP/CCC
-
Jane Doherty O'Donnell, CERTIFICATION
-
Randi Ava Shebitz, M.S. OTR
National Provider Directory
- Tax ID family
- Early Childhood Program
Locations
140 Lester Dr
Tappan, NY 10983
Phone (845) 680-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
140 Lester Dr
Tappan, NY 10983-1217
Mailing address
140 Lester Dr
Tappan, NY 10983-1217
Phone (845) 680-1325
Other providers in Tappan, NY
- Thomas Colgan
- Martin K Diner
- Manuel Domingo
- Dynamic at Home
- Dynamic OT at Home PC
- Essential Podiatry PC
- Nancy Ann Feher
- Theresa Sarah Felczak
- Laurie Jean Ferguson
- David Ferretti
All providers in Tappan, NY · Developmentally Disabled Services Day Training Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.