# A PLACE FOR MY SPECIAL NEEDS EARLY INTERVENTION

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

## Provider details

- **NPI number:** 1245778844
- **Authorized official:** AKEESHA LOCKITT (PRESIDENT)
- **Authorized official phone:** (631) 434-6665

## Contact information

- **Practice address:** 14 CLARKE ST, BRENTWOOD, NY 11717-2002
- **Practice address phone:** (631) 434-6665
- **Mailing address:** 14 CLARKE ST, BRENTWOOD, NY 11717-2002
- **Mailing address phone:** (631) 434-6665

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 02/06/2017
