Provider Demographics
NPI:1730891128
Name:SPECIAL MINDZZ LLC.
Entity type:Organization
Organization Name:SPECIAL MINDZZ LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA /AUTISM THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALACHI
Authorized Official - Suffix:
Authorized Official - Credentials:MS,BA
Authorized Official - Phone:917-498-1311
Mailing Address - Street 1:2069 MAYFLOWER AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3978
Mailing Address - Country:US
Mailing Address - Phone:917-498-1311
Mailing Address - Fax:914-992-0942
Practice Address - Street 1:2069 MAYFLOWER AVE APT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3978
Practice Address - Country:US
Practice Address - Phone:917-498-1311
Practice Address - Fax:914-992-0942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child