Provider Demographics
NPI:1396284659
Name:INSPIRE KIDS NY
Entity type:Organization
Organization Name:INSPIRE KIDS NY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EDITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIAMBAO
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA
Authorized Official - Phone:917-745-7464
Mailing Address - Street 1:118 SAINT NICHOLAS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-3491
Mailing Address - Country:US
Mailing Address - Phone:917-745-7464
Mailing Address - Fax:
Practice Address - Street 1:118 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-3491
Practice Address - Country:US
Practice Address - Phone:917-745-7464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management