Provider Demographics
NPI:1477893410
Name:KIDS FIRST SPECTRUM SERVICES, INC
Entity Type:Organization
Organization Name:KIDS FIRST SPECTRUM SERVICES, INC
Other - Org Name:LONG ISLAND ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:516-728-0975
Mailing Address - Street 1:1 BARSTOW RD STE P20
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3510
Mailing Address - Country:US
Mailing Address - Phone:516-441-5255
Mailing Address - Fax:516-441-5255
Practice Address - Street 1:1 BARSTOW RD STE P20
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3510
Practice Address - Country:US
Practice Address - Phone:516-441-5255
Practice Address - Fax:516-441-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health