OrganizationActive
Adults and Children Intervention Services LLC
NPI 1124368881 · Developmental Disabilities Clinic/Center · New Rochelle, NY
Provider details
- NPI number
- 1124368881
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paula Sims-Edwards, Speech Language Pathologist(954) 488-1468
- License
- SA11883 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
39 Davenport Ave Apt 1f
New Rochelle, NY 10805-3409
Phone: (954) 488-1468
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 42
New Rochelle, NY 10802-0042
Registry dates
- Enumerated
- 2013-02-18
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.