Children's Early Intervention Development Corporation

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CHILDREN'S EARLY INTERVENTION DEVELOPMENT CORPORATION

Practice address

1072 Remsen Ave
Brooklyn, NY 11236-3452

Phone

(347) 267-9070

NPI assigned

Feb 15, 2017

Last updated

Feb 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dwayne P DundasNPI 1962854844

Title

President/Ceo

Phone

(347) 267-9070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwayne Dundas

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1962854844
  NPD (past) Authorized official

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1033658661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363452",
            "telephone_number": "347-267-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363452",
            "telephone_number": "347-267-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EARLY INTERVENTION DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "DUNDAS",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "347-267-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Children's Skin and Laser, PC (Brooklyn Dermatology)

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.