OrganizationActive
Abundant Life Agency
NPI 1073869459 · Early Intervention Provider Agency · Brooklyn, NY
Provider details
- NPI number
- 1073869459
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Johann Richardson, Service Coordinator(718) 735-7151
- License
- 21900 (NY)
Specialties & taxonomies
Agencies
Practice location
827 Clarkson Ave
Brooklyn, NY 11203-2256
Phone: (718) 735-7151
Fax: (718) 735-7141
Approximate (ZIP-level) locationGet directions
Mailing address
827 Clarkson Ave
Brooklyn, NY 11203-2256
Registry dates
- Enumerated
- 2012-08-03
- Last updated
- 2012-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.