Provider Demographics
NPI:1902153141
Name:THE 13TH CHILD AUTISM & BEHAVIORAL COACHING, INC.
Entity Type:Organization
Organization Name:THE 13TH CHILD AUTISM & BEHAVIORAL COACHING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CONSULTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED ACBA
Authorized Official - Phone:718-316-8057
Mailing Address - Street 1:8346 118TH ST
Mailing Address - Street 2:SUITE 2H
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2370
Mailing Address - Country:US
Mailing Address - Phone:718-316-8057
Mailing Address - Fax:
Practice Address - Street 1:8346 118TH ST
Practice Address - Street 2:SUITE 2H
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2370
Practice Address - Country:US
Practice Address - Phone:718-316-8057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1893773103K00000X
NY893773174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty