Organization
INSPIRE KIDS NY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDITHA QUIAMBAO MA BCBA (PROGRAM DIRECTOR)
(917) 745-7464
Entity
Organization
Contact information
Practice address
118 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-3491
(917) 745-7464
Mailing address
118 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-3491
(917) 745-7464
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
09/21/2017
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