Provider Demographics
NPI:1508019464
Name:LAKEVIEW EARLY CHILDHOOD ASSOCIATES, INC.
Entity Type:Organization
Organization Name:LAKEVIEW EARLY CHILDHOOD ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ED
Authorized Official - Phone:518-810-8459
Mailing Address - Street 1:8 ALPINE APPROACH
Mailing Address - Street 2:
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019-9244
Mailing Address - Country:US
Mailing Address - Phone:518-810-8459
Mailing Address - Fax:518-280-2826
Practice Address - Street 1:8 ALPINE APPROACH
Practice Address - Street 2:
Practice Address - City:BALLSTON LAKE
Practice Address - State:NY
Practice Address - Zip Code:12019-9244
Practice Address - Country:US
Practice Address - Phone:518-810-8459
Practice Address - Fax:518-280-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency