MEDICARE: KIDS CONNECT SERVICE

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1568324846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS CONNECT SERVICE

Provider Business Mailing Address
First Line	:	10623 BURBANK BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-0000
Country	:	US
Telephone Number	:	818-406-0610
Fax Number	:

Provider Business Practice Location Address
First Line	:	10623 BURBANK BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-0000
Country	:	US
Telephone Number	:	818-406-0610
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SUSANNA STEPANYAN
Credential	:
Telephone Number	:	818-406-0610

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

Similar Medicare Providers

1326610619 — GOLDEN ERA HOSPICE
Practice Location Address:

10623 BURBANK BLVD
NORTH HOLLYWOOD, CA
91601-0000

Practice Phone: 818-579-2251
Practice Fax: 818-797-2941

1760434005 — DR. VICTORIA ALAEV M.D.
Practice Location Address:

12157 VICTORY BLVD.
NORTH HOLLYWOOD, CA
91606-0000

Practice Phone: 818-755-8000
Practice Fax: 818-755-8006

1770953499 — HEAVENLY MANOR ELDERLY CARE LLC
Practice Location Address:

7708 ETHEL AVE.
NORTH HOLLYWOOD, CA
91605-0000

Practice Phone: 818-434-3089
Practice Fax: 818-765-7791

1134797541 — HOLLYWOOD HOSPICE AND PALLIATIVE CARE, INC.
Practice Location Address:

6438 1/2 BELLINGHAM AVE
NORTH HOLLYWOOD, CA
91606-0000

Practice Phone: 818-401-9949
Practice Fax: 818-401-9948

1851344113 — SUZANNE M OLIVER CRNA
Practice Location Address:

4470 SHERIDAN STREET
HOLLYWOOD, FL
33021-0000

Practice Phone: 954-962-3210
Practice Fax: 954-577-8556

1770817694 — INGRID FOX PTA
Practice Location Address:

1023 HOLLYWOOD AVENUE
SILVER SPRING, MD
20904-0000

Practice Phone: 301-680-3655
Practice Fax:

Directions to “KIDS CONNECT SERVICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.