Provider Demographics
NPI:1841785441
Name:CORNERSTONE SPECIAL EDUCATION ALLIANCE
Entity Type:Organization
Organization Name:CORNERSTONE SPECIAL EDUCATION ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DIRECTOR OF ABA
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:WOJNAR
Authorized Official - Suffix:
Authorized Official - Credentials:MED, BCBA
Authorized Official - Phone:301-538-0693
Mailing Address - Street 1:101 CENTURY 21 DR STE 112
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-9255
Mailing Address - Country:US
Mailing Address - Phone:301-538-0693
Mailing Address - Fax:
Practice Address - Street 1:101 CENTURY 21 DR STE 112
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-9255
Practice Address - Country:US
Practice Address - Phone:904-570-9776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORNERSTONE SPECIAL EDUCATION ALLIANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-26
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-11-8870103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty