Healthcare Provider Details

I. General information

NPI: 1174491021
Provider Name (Legal Business Name): ALMIGHTY KIDS EARLY INTERVENTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 ASTORIA BLVD APT 24
LONG ISLAND CITY NY
11102-1723
US

IV. Provider business mailing address

3011 ASTORIA BLVD APT 24
LONG ISLAND CITY NY
11102-1723
US

V. Phone/Fax

Practice location:
  • Phone: 718-310-0949
  • Fax:
Mailing address:
  • Phone: 718-310-0949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: SARA B ACOSTA
Title or Position: QUALITY ASSURANCE
Credential:
Phone: 718-310-0949