Organization
DM KIDS SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY MERENER MS, SP ED (SPECIAL INSTRUCTOR (ABA))
(646) 404-4444
Entity
Organization
Contact information
Practice address
1180 BRIGHTON BEACH AVE APT 6B, BROOKLYN, NY 11235-5838
(646) 417-3816
Mailing address
1180 BRIGHTON BEACH AVE APT 6B, BROOKLYN, NY 11235-5838
(646) 404-4444
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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