Healthcare Provider Details

I. General information

NPI: 1831014901
Provider Name (Legal Business Name): FIRST CHOICE CHILDREN'S SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 CARLETON AVE
CENTRAL ISLIP NY
11722-4506
US

IV. Provider business mailing address

320 CARLETON AVE STE 6100
CENTRAL ISLIP NY
11722-4538
US

V. Phone/Fax

Practice location:
  • Phone: 631-320-3111
  • Fax: 631-536-2238
Mailing address:
  • Phone: 631-320-3111
  • Fax: 631-536-2238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA VALLE
Title or Position: CEO
Credential:
Phone: 631-944-2796