Provider Demographics
NPI:1518220326
Name:WYANDOTTE COMPREHENSIVE SPECIAL EDUCATION COOP INFANT TODDLER DIVISION
Entity Type:Organization
Organization Name:WYANDOTTE COMPREHENSIVE SPECIAL EDUCATION COOP INFANT TODDLER DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KEDROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-287-8851
Mailing Address - Street 1:4911 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-1749
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4911 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1749
Practice Address - Country:US
Practice Address - Phone:913-287-8851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:USD 500, WYANDOTTE COMPREHENSIVE SPECIAL EDUCATION COOPERATIVE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency