Organization
BEELIGHT EDUCATOR FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELILAH WORRELL MS (OWNER)
(347) 708-4016
Entity
Organization
Contact information
Practice address
140 BENCHLEY PL APT 29K, BRONX, NY 10475-3530
(347) 708-4016
Mailing address
140 BENCHLEY PL APT 29K, BRONX, NY 10475-3530
(347) 708-4016
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124400122
—
NY
Enumeration date
06/26/2020
Last updated
06/26/2020
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