Provider Demographics
NPI:1154576007
Name:REACHING POTENTIALS, INC.
Entity type:Organization
Organization Name:REACHING POTENTIALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:H
Authorized Official - Last Name:GORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:540-368-8087
Mailing Address - Street 1:PO BOX 1004
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22402-1004
Mailing Address - Country:US
Mailing Address - Phone:540-368-8087
Mailing Address - Fax:540-368-8059
Practice Address - Street 1:1602 WILLIAM ST
Practice Address - Street 2:UPPER FLOOR
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5549
Practice Address - Country:US
Practice Address - Phone:540-368-8087
Practice Address - Fax:540-368-8059
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REACHING POTENTIALS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-19
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency