Provider Demographics
NPI:1104649995
Name:BKWUNDERBARKINDER INC
Entity type:Organization
Organization Name:BKWUNDERBARKINDER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COE
Authorized Official - Prefix:
Authorized Official - First Name:BELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-977-0907
Mailing Address - Street 1:2626 KINGSHWY APT 3D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:917-977-0907
Mailing Address - Fax:
Practice Address - Street 1:2626 KINGSHWY APT 3D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:917-977-0907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency