Healthcare Provider Details

I. General information

NPI: 1124492145
Provider Name (Legal Business Name): SEEDLINGS THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 BLACKBERRY HILL RD
KATONAH NY
10536-3174
US

IV. Provider business mailing address

10 BLACKBERRY HILL RD
KATONAH NY
10536-3174
US

V. Phone/Fax

Practice location:
  • Phone: 914-556-8298
  • Fax: 914-556-8298
Mailing address:
  • Phone: 914-556-8298
  • Fax: 914-556-8298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. VIRGILIO A STEWART
Title or Position: CLINICAL DIRECTOR
Credential: BCBA, LBA
Phone: 631-484-5506