Provider Demographics
NPI:1053164244
Name:EARLY SUCCESS STRATEGIES LLC
Entity type:Organization
Organization Name:EARLY SUCCESS STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDIVIESO
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:516-424-2412
Mailing Address - Street 1:1929 23RD AVE APT 2A
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3737
Mailing Address - Country:US
Mailing Address - Phone:516-424-3025
Mailing Address - Fax:
Practice Address - Street 1:1929 23RD AVE APT 2A
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3737
Practice Address - Country:US
Practice Address - Phone:516-424-3025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency