SK Early Intervention Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

658665 Issued in NY

Legal business name

SK EARLY INTERVENTION SERVICES

Practice address

9701 Shore Rd
6K
Brooklyn, NY 11209-7653

Phone

(347) 220-5840

NPI assigned

Dec 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sal Katzos, MA ED

Title

ABA Therapist

Phone

(347) 220-5840

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1013451384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 SHORE RD",
            "address_2": "6K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097653",
            "telephone_number": "347-220-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 SHORE RD",
            "address_2": "6K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097653",
            "telephone_number": "347-220-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK EARLY INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "KATZOS",
        "authorized_official_first_name": "SAL",
        "authorized_official_title_or_position": "ABA THERAPIST",
        "authorized_official_telephone_number": "347-220-5840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "658665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.