Provider Demographics
NPI:1518205624
Name:TEACHING TOMORROW'S STARS
Entity Type:Organization
Organization Name:TEACHING TOMORROW'S STARS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTON-BLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA
Authorized Official - Phone:516-404-0838
Mailing Address - Street 1:22 SYCAMORE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-8641
Mailing Address - Country:US
Mailing Address - Phone:516-404-0838
Mailing Address - Fax:631-849-5731
Practice Address - Street 1:22 SYCAMORE RD
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-8641
Practice Address - Country:US
Practice Address - Phone:516-404-0838
Practice Address - Fax:631-849-5731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty