Organization
BARRIERS BREAKERS EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JISSETTE PICHARDO (EXECUTIVE DIRECTOR)
(347) 307-1186
Entity
Organization
Contact information
Practice address
1024 WALTON AVE APT 3A, BRONX, NY 10452-9320
(347) 307-1186
Mailing address
136 W STATE ST APT 2, KENNETT SQUARE, PA 19348-3067
(347) 307-1186
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
01/24/2024
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