Provider Demographics
NPI:1821461013
Name:BARBARA AND JACK KAY EARLY CHILDHOOD LEARNING CENTER
Entity Type:Organization
Organization Name:BARBARA AND JACK KAY EARLY CHILDHOOD LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:COTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-624-9188
Mailing Address - Street 1:11310 LEGACY AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3658
Mailing Address - Country:US
Mailing Address - Phone:561-624-9188
Mailing Address - Fax:561-624-3864
Practice Address - Street 1:5221 HOOD RD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-8924
Practice Address - Country:US
Practice Address - Phone:561-624-9188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X, 225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty