Provider Demographics
NPI:1598128480
Name:EARLY INTERACTIONS, LLC
Entity Type:Organization
Organization Name:EARLY INTERACTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VAN AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:256-691-2791
Mailing Address - Street 1:PO BOX 2302
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-5419
Mailing Address - Country:US
Mailing Address - Phone:256-542-9332
Mailing Address - Fax:
Practice Address - Street 1:102 TRIBBLE DR
Practice Address - Street 2:SUITE M
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-1794
Practice Address - Country:US
Practice Address - Phone:256-542-9332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty