Provider Demographics
NPI:1508458357
Name:NEXTGENERATION STEAM ACADEMY
Entity Type:Organization
Organization Name:NEXTGENERATION STEAM ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:RECHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:209-229-4736
Mailing Address - Street 1:18001 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:CA
Mailing Address - Zip Code:95330-8543
Mailing Address - Country:US
Mailing Address - Phone:209-229-4736
Mailing Address - Fax:
Practice Address - Street 1:18001 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:LATHROP
Practice Address - State:CA
Practice Address - Zip Code:95330-8543
Practice Address - Country:US
Practice Address - Phone:209-229-4736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)