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NPI 1972984557

NPI 1972984557 : A TO Z CHILD DEVELOPMENT, LLC : FLORAL PARK, NY

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General NPI Number Information
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    NPI Number           |    1972984557
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    Entity Type          |    Organization 
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    Legal Business Name  |    A TO Z CHILD DEVELOPMENT, LLC 
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Dates
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    Enumeration Date     |    06/09/2015
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    24902 JERICHO TPKE STE 207 
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    City                 |    FLORAL PARK
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    State                |    NY
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    Zip                  |    11001-4000
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    Country              |    US
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    Telephone            |    646-522-5450
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    Fax                  |    718-889-7400
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Provider Business Mailing Address
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    Address Line         |    24902 JERICHO TPKE STE 207 
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    City                 |    FLORAL PARK
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    State                |    NY
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    Zip                  |    11001-4000
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    Country              |    US
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    Telephone            |    646-522-5450
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. TATYANA  KHODIK 
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    Credential           |    MS, OTR/L
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    Telephone            |    646-522-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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