# SPK EARLY DEVELOPMENT INC

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

## Provider details

- **NPI number:** 1356060966
- **Authorized official:** SUSANA PINKHASOVA MSED (ABA THERAPIST)
- **Authorized official phone:** (347) 791-5881

## Contact information

- **Practice address:** 7656 167TH ST, FRESH MEADOWS, NY 11366-1329
- **Practice address phone:** (347) 791-5881
- **Mailing address:** 7656 167TH ST, FRESH MEADOWS, NY 11366-1329
- **Mailing address phone:** (347) 791-5881

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2022
- **Last updated:** 08/25/2022
