Organization
EARLY INTERVENTION ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA TOKAREV (PRESIDENT)
(718) 650-0580
Entity
Organization
Contact information
Practice address
55 OCEANA DR E APT 4G, BROOKLYN, NY 11235-6696
(718) 650-0580
Mailing address
55 OCEANA DR E APT 4G, BROOKLYN, NY 11235-6696
(718) 650-0580
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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