Provider Demographics
NPI:1548937634
Name:EXCEPTIONAL EDUCATORS
Entity type:Organization
Organization Name:EXCEPTIONAL EDUCATORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:SARA
Authorized Official - Last Name:HUDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:808-646-0179
Mailing Address - Street 1:PO BOX 4192
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-1192
Mailing Address - Country:US
Mailing Address - Phone:630-415-7301
Mailing Address - Fax:
Practice Address - Street 1:3183 POELUA PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-1307
Practice Address - Country:US
Practice Address - Phone:808-646-0719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty