Provider Demographics
NPI:1598490633
Name:WILD ABOUT LEARNING
Entity Type:Organization
Organization Name:WILD ABOUT LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRAYA CSUKARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:718-662-8690
Mailing Address - Street 1:6917 58TH RD # 1
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2603
Mailing Address - Country:US
Mailing Address - Phone:718-662-8690
Mailing Address - Fax:
Practice Address - Street 1:6917 58TH RD # 1
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2603
Practice Address - Country:US
Practice Address - Phone:718-662-8690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty