Provider Demographics
NPI:1437632916
Name:JAM G DEVELOPMENTAL SERVICES FOR YOUNG ONES INC.
Entity Type:Organization
Organization Name:JAM G DEVELOPMENTAL SERVICES FOR YOUNG ONES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR /ABA
Authorized Official - Prefix:
Authorized Official - First Name:MARIA-VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:917-517-0643
Mailing Address - Street 1:221 E 122ND ST APT 1303
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2051
Mailing Address - Country:US
Mailing Address - Phone:917-517-0643
Mailing Address - Fax:
Practice Address - Street 1:221 E 122ND ST APT 1303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2051
Practice Address - Country:US
Practice Address - Phone:917-517-0643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency