Provider Demographics
NPI:1780822890
Name:ALL ABOARD LEARNING LLC
Entity Type:Organization
Organization Name:ALL ABOARD LEARNING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:HOUGHTALEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC/SLP
Authorized Official - Phone:631-589-2048
Mailing Address - Street 1:121 MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1846
Mailing Address - Country:US
Mailing Address - Phone:631-589-2048
Mailing Address - Fax:
Practice Address - Street 1:121 MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1846
Practice Address - Country:US
Practice Address - Phone:631-589-2048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency