Provider Demographics
NPI:1316453038
Name:STUDENT OF KNOWLEDGE
Entity type:Organization
Organization Name:STUDENT OF KNOWLEDGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:973-619-8693
Mailing Address - Street 1:508 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-1215
Mailing Address - Country:US
Mailing Address - Phone:973-619-8693
Mailing Address - Fax:
Practice Address - Street 1:508 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-1215
Practice Address - Country:US
Practice Address - Phone:973-619-8693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ948789252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency