Healthcare Provider Details

I. General information

NPI: 1326752106
Provider Name (Legal Business Name): INCLUSIVE SERVICES FOR CHILDREN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 WEST 125TH STREET STE. 2A / UNIT 1489
NEW YORK NY
10027
US

IV. Provider business mailing address

2 W 129TH ST STE. 6B
NEW YORK NY
10027-2297
US

V. Phone/Fax

Practice location:
  • Phone: 917-538-1584
  • Fax:
Mailing address:
  • Phone: 917-538-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: SAYI NEUFELD
Title or Position: PRESIDENT /CEO
Credential: M.S.ED
Phone: 917-538-1584