# DM KIDS SERVICE

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

## Provider details

- **NPI number:** 1700429602
- **Authorized official:** DMITRY MERENER MS, SP ED (SPECIAL INSTRUCTOR (ABA))
- **Authorized official phone:** (646) 404-4444

## Contact information

- **Practice address:** 1180 BRIGHTON BEACH AVE APT 6B, BROOKLYN, NY 11235-5838
- **Practice address phone:** (646) 417-3816
- **Mailing address:** 1180 BRIGHTON BEACH AVE APT 6B, BROOKLYN, NY 11235-5838
- **Mailing address phone:** (646) 404-4444

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019