Organization
SPECIAL MINDZZ LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA MALACHI MS,BA (ABA /AUTISM THERAPIST)
(917) 498-1311
Entity
Organization
Contact information
Practice address
2069 MAYFLOWER AVE APT 2, BRONX, NY 10461-3978
(917) 498-1311
(914) 992-0942
Mailing address
2069 MAYFLOWER AVE APT 2, BRONX, NY 10461-3978
(917) 498-1311
(914) 992-0942
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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