Provider Demographics
NPI:1568616910
Name:ACCELERATED CHILDHOOD EDUCATION
Entity Type:Organization
Organization Name:ACCELERATED CHILDHOOD EDUCATION
Other - Org Name:ACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ABA PROGRAMING
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:HTIZIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-767-7216
Mailing Address - Street 1:382 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3136
Mailing Address - Country:US
Mailing Address - Phone:516-767-7216
Mailing Address - Fax:516-767-0129
Practice Address - Street 1:382 MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3136
Practice Address - Country:US
Practice Address - Phone:516-767-7216
Practice Address - Fax:516-767-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-12
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management