Provider Demographics
NPI:1730502873
Name:DEE'S 4 AWESOME KIDS INC
Entity type:Organization
Organization Name:DEE'S 4 AWESOME KIDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-344-0080
Mailing Address - Street 1:263 PRAIRIE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-1001
Mailing Address - Country:US
Mailing Address - Phone:917-344-0080
Mailing Address - Fax:631-242-1005
Practice Address - Street 1:263 PRAIRIE DR
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-1001
Practice Address - Country:US
Practice Address - Phone:917-344-0080
Practice Address - Fax:631-242-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-25
Last Update Date:2014-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty