MEDICARE: TALKING KIDS & TOTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	020354	NY
2	252Y00000X	Early Intervention Provider Agency	020354	NY

General Provider Information

NPI Number	:	1295146595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALKING KIDS & TOTS, LLC

Provider Business Mailing Address
First Line	:	1120 BRIGHTON BEACH AVE APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5519
Country	:	US
Telephone Number	:	347-866-9817
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 BRIGHTON BEACH AVE APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5519
Country	:	US
Telephone Number	:	347-866-9817
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MRS. LYNN ROSENBERG
Credential	:	SLP
Telephone Number	:	347-866-9817

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	05/08/2014

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