Organization
SPK EARLY DEVELOPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA PINKHASOVA MSED (ABA THERAPIST)
(347) 791-5881
Entity
Organization
Contact information
Practice address
7656 167TH ST, FRESH MEADOWS, NY 11366-1329
(347) 791-5881
Mailing address
7656 167TH ST, FRESH MEADOWS, NY 11366-1329
(347) 791-5881
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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