Kidtastic Consulting Services, Inc.
NPI #1730329459 in Lake Grove, New York
Provider Information
- NPI Number
- 1730329459
- Entity Type
- Organization
- Organization Name
- Kidtastic Consulting Services, Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 21, 2009
- Last Updated
- Feb 21, 2009
Practice Location
- Address
- 62 BIRCH ST
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2743
- Phone
- (631) 553-7952
Authorized Official
- Name
- MRS. DAWNMARIE GARRETT, MSED
- Title
- PRESIDENT
- Phone
- (631) 553-7952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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