Provider Demographics
NPI:1194452607
Name:ABREU LEARNING SERVICES LLC
Entity type:Organization
Organization Name:ABREU LEARNING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIELY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-535-0452
Mailing Address - Street 1:865 QUINCY AVE # 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2216
Mailing Address - Country:US
Mailing Address - Phone:917-535-0452
Mailing Address - Fax:
Practice Address - Street 1:865 QUINCY AVE # 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2216
Practice Address - Country:US
Practice Address - Phone:917-535-0452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1265867766Medicaid