# EARLY THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184271595
- **Authorized official:** YULIYA YADGAROVA MS ED (SPECIAL ED TEACHER)
- **Authorized official phone:** (646) 236-0328

## Contact information

- **Practice address:** 6565 BOOTH ST APT 109, REGO PARK, NY 11374-4136
- **Practice address phone:** (646) 236-0328
- **Mailing address:** 6565 BOOTH ST APT 109, REGO PARK, NY 11374-4136
- **Mailing address phone:** (646) 236-0328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 08/20/2019