Provider Demographics
NPI:1427756766
Name:NEXT GENERATION 101
Entity type:Organization
Organization Name:NEXT GENERATION 101
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:ILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDCHOROV
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ED
Authorized Official - Phone:347-536-7138
Mailing Address - Street 1:141-44 PERSHING CRESCENT APT 2A
Mailing Address - Street 2:JAMAICA NY 11435
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1979
Mailing Address - Country:US
Mailing Address - Phone:347-536-7138
Mailing Address - Fax:
Practice Address - Street 1:141-44 PERSHING CRESCENT APT 2A
Practice Address - Street 2:JAMAICA NY 11435
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11435-1979
Practice Address - Country:US
Practice Address - Phone:347-536-7138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty