Provider Demographics
NPI:1528442738
Name:EARLY INTERVENTIONS NY LLC
Entity type:Organization
Organization Name:EARLY INTERVENTIONS NY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / BCBA
Authorized Official - Prefix:MS
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CZECH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, MSED, LBA
Authorized Official - Phone:917-797-9533
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:SALT POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12578-0136
Mailing Address - Country:US
Mailing Address - Phone:917-797-9533
Mailing Address - Fax:
Practice Address - Street 1:52 HIBERNIA RD
Practice Address - Street 2:FL 2
Practice Address - City:SALT POINT
Practice Address - State:NY
Practice Address - Zip Code:12578-2104
Practice Address - Country:US
Practice Address - Phone:917-797-9533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty