Organization
EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STEVENSON TSHH, TSE, SDA (PRESIDENT)
(888) 320-5550
Entity
Organization
Contact information
Practice address
42 LAKE AVENUE EXT, #286, DANBURY, CT 06811-5279
(888) 320-5550
(516) 706-1962
Mailing address
42 LAKE AVENUE EXT, #286, DANBURY, CT 06811-5279
(888) 320-5550
(516) 706-1962
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
16022
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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