Provider Demographics
NPI:1992134928
Name:WAYRA LLC
Entity type:Organization
Organization Name:WAYRA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:ESPECIAL EDUCATION
Authorized Official - Phone:516-406-6654
Mailing Address - Street 1:6305 252ND ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2305
Mailing Address - Country:US
Mailing Address - Phone:516-406-6654
Mailing Address - Fax:
Practice Address - Street 1:6305 252ND ST
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2305
Practice Address - Country:US
Practice Address - Phone:516-406-6654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency