=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437680550
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOLLOW MY LEAD LLP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2017
-----------------------------------------------------
Last Update Date | 03/21/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 530 SOUTH AVE W
-----------------------------------------------------
City | WESTFIELD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07090-1402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-228-2245
-----------------------------------------------------
Fax | 908-228-2062
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 530 SOUTH AVE W
-----------------------------------------------------
City | WESTFIELD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07090-1402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-228-2245
-----------------------------------------------------
Fax | 908-228-2062
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | INSTRUCTOR
-----------------------------------------------------
Name | BRITTANY PEREIRA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 908-906-7710
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------