Provider Demographics
NPI:1194383232
Name:KIDD SPED ENTERPRISES INC.
Entity type:Organization
Organization Name:KIDD SPED ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAFISO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-859-3890
Mailing Address - Street 1:1481 MARK DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4829
Mailing Address - Country:US
Mailing Address - Phone:516-859-3890
Mailing Address - Fax:516-538-3703
Practice Address - Street 1:1481 MARK DR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4829
Practice Address - Country:US
Practice Address - Phone:516-859-3890
Practice Address - Fax:516-538-3703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency