Provider Demographics
NPI:1326271974
Name:CHILDREN FIRST SPEECH LANGUAGE PATHOLOGY AND PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:CHILDREN FIRST SPEECH LANGUAGE PATHOLOGY AND PSYCHOLOGY PLLC
Other - Org Name:CHILDREN FIRST OF MANHATTAN, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF ABA SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:MELANIE
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:845-848-2585
Mailing Address - Street 1:14 CONKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-2005
Mailing Address - Country:US
Mailing Address - Phone:516-746-2609
Mailing Address - Fax:
Practice Address - Street 1:14 CONKLIN AVENUE
Practice Address - Street 2:
Practice Address - City:TAPPAN
Practice Address - State:NY
Practice Address - Zip Code:10983
Practice Address - Country:US
Practice Address - Phone:516-746-2609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1020796103K00000X
NY015985-1103TC0700X
NY011945235Z00000X, 235Z00000X
NY010659225XP0200X
NY067311235Z00000X
NY25Y00000X252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1487925384OtherMULTI-SPECIALITY GROU 193200000X