Organization
TINY-K EARLY INTERVENTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA D. BRACCIANO MSED (COORDINATOR)
(785) 843-3059
Entity
Organization
Contact information
Practice address
2619 W 6TH ST STE B, LAWRENCE, KS 66049-4300
(785) 843-3059
(785) 843-3562
Mailing address
2619 W 6TH ST STE B, LAWRENCE, KS 66049-4300
(785) 843-3059
(785) 843-3562
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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