Provider Demographics
NPI:1578235065
Name:EXCEPTIONAL ACHIEVEMENT LLC
Entity Type:Organization
Organization Name:EXCEPTIONAL ACHIEVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:EVANS-SPRUILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-933-6200
Mailing Address - Street 1:36 STERLING PL
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-6811
Mailing Address - Country:US
Mailing Address - Phone:516-444-7467
Mailing Address - Fax:
Practice Address - Street 1:36 STERLING PL
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-6811
Practice Address - Country:US
Practice Address - Phone:516-444-7467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services