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Organization

IRINA'S KIDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRINA TKACHEVA MS SPED (ITDS)
(347) 217-5872
Entity
Organization

Contact information

Practice address
3350 NE 192ND ST # 2M-B, AVENTURA, FL 33180-2461
(347) 217-5872
(347) 377-8938
Mailing address
3350 NE 192ND ST # 2M-B, AVENTURA, FL 33180-2461
(347) 217-5872
(347) 377-8938

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
01/25/2019
Last updated
01/21/2022
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