Healthcare Provider Details
I. General information
NPI: 1063743037
Provider Name (Legal Business Name): THURSDAY'S CHILD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/14/2010
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7616 13TH AVE
BROOKLYN NY
11228-2412
US
IV. Provider business mailing address
7616 13TH AVE
BROOKLYN NY
11228-2412
US
V. Phone/Fax
- Phone: 718-630-5100
- Fax: 718-491-6110
- Phone: 718-630-5100
- Fax: 718-491-6110
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEANNE
WARD
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.ED., BCBA, LBA
Phone: 718-630-5100