Healthcare Provider Details

I. General information

NPI: 1306431333
Provider Name (Legal Business Name): LITTLE GIANTS CHILD CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 13TH AVE BSMT
BROOKLYN NY
11219-2018
US

IV. Provider business mailing address

1447 48TH ST APT 1
BROOKLYN NY
11219-3252
US

V. Phone/Fax

Practice location:
  • Phone: 718-577-8486
  • Fax:
Mailing address:
  • Phone: 347-668-0704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SIMCHA GARFINKEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-577-8486