Provider Demographics
NPI:1598277097
Name:MINDING MIRACLES LEARNING CENTER
Entity Type:Organization
Organization Name:MINDING MIRACLES LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-757-2123
Mailing Address - Street 1:45 APPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:LEONARDO
Mailing Address - State:NJ
Mailing Address - Zip Code:07737-1232
Mailing Address - Country:US
Mailing Address - Phone:732-291-0810
Mailing Address - Fax:732-291-0502
Practice Address - Street 1:45 APPLETON AVE
Practice Address - Street 2:45 APPLETON AVE
Practice Address - City:LEONARDO
Practice Address - State:NJ
Practice Address - Zip Code:07737
Practice Address - Country:US
Practice Address - Phone:732-291-0810
Practice Address - Fax:732-291-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-1519229103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty