Provider Demographics
NPI:1093503419
Name:WOODLYNE LLC
Entity type:Organization
Organization Name:WOODLYNE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WOODLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUTUS
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIAL EDUCATOR
Authorized Official - Phone:347-581-2788
Mailing Address - Street 1:201 EASTERN PKWY APT 5I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6158
Mailing Address - Country:US
Mailing Address - Phone:347-581-2788
Mailing Address - Fax:
Practice Address - Street 1:201 EASTERN PKWY APT 5I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6158
Practice Address - Country:US
Practice Address - Phone:347-581-2788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLEX MIND WORKS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency