Provider Demographics
NPI:1013388354
Name:TOP NOTCH KIDS SERVICES
Entity Type:Organization
Organization Name:TOP NOTCH KIDS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:ABUAN
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:619-385-7939
Mailing Address - Street 1:111 LONGWOODS DR
Mailing Address - Street 2:
Mailing Address - City:SAYLORSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18353-8550
Mailing Address - Country:US
Mailing Address - Phone:619-385-7939
Mailing Address - Fax:718-882-2155
Practice Address - Street 1:781 ALLERTON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8909
Practice Address - Country:US
Practice Address - Phone:619-385-7939
Practice Address - Fax:718-882-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017905-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency