Provider Demographics
NPI:1851678924
Name:BAY AREA BREASTFEEDING AND EDUCATION, LLC
Entity Type:Organization
Organization Name:BAY AREA BREASTFEEDING AND EDUCATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:281-316-6986
Mailing Address - Street 1:2102 GOLDFINCH LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3867
Mailing Address - Country:US
Mailing Address - Phone:713-496-2223
Mailing Address - Fax:
Practice Address - Street 1:2102 GOLDFINCH LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3867
Practice Address - Country:US
Practice Address - Phone:713-496-2223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty