Small Wonders Early Intervention Services, Inc.
NPI #1124279757 in Johnson City, New York
Provider Information
- NPI Number
- 1124279757
- Entity Type
- Organization
- Organization Name
- Small Wonders Early Intervention Services, Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 1, 2008
- Last Updated
- Sep 27, 2010
Practice Location
- Address
- 1364 REYNOLDS RD
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-4837
- Phone
- (607) 584-0709
Authorized Official
- Name
- MR. DOUGLAS VAUGHN WASHBURN, M. ED.
- Title
- PRESIDENT
- Phone
- (607) 798-8056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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