Provider Demographics
NPI:1235640657
Name:J.A.G. INTERVENTION SERVICES INC.
Entity Type:Organization
Organization Name:J.A.G. INTERVENTION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:JESSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-208-3900
Mailing Address - Street 1:13830 COOLIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1117
Mailing Address - Country:US
Mailing Address - Phone:718-208-3900
Mailing Address - Fax:
Practice Address - Street 1:13830 COOLIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-1117
Practice Address - Country:US
Practice Address - Phone:718-208-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency