SPK Early Development Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SPK EARLY DEVELOPMENT INC

Practice address

7656 167TH St
Fresh Meadows, NY 11366-1329

Phone

(347) 791-5881

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Susana Pinkhasova, MSEDNPI 1841769023

Title

ABA Therapist

Phone

(347) 791-5881

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.

• Susana Pinkhasova, MS

  • Specialist
  • Forest Hills, NY
  • NPI 1841769023
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1356060966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 167TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661329",
            "telephone_number": "347-791-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 167TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661329",
            "telephone_number": "347-791-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPK EARLY DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "PINKHASOVA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "ABA THERAPIST",
        "authorized_official_telephone_number": "347-791-5881",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Aug 25, 2022; 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.