Provider Demographics
NPI:1417373002
Name:ARILAN SLP PC
Entity Type:Organization
Organization Name:ARILAN SLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP/TSLD, CCC-MA
Authorized Official - Phone:917-364-8616
Mailing Address - Street 1:2065 OCEAN AVE APT E4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7314
Mailing Address - Country:US
Mailing Address - Phone:917-364-8616
Mailing Address - Fax:
Practice Address - Street 1:2065 OCEAN AVE APT E4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7314
Practice Address - Country:US
Practice Address - Phone:917-364-8616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016224252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency