Provider Demographics
NPI:1922235902
Name:VISIONS EARLY START PROGRAMS, INC
Entity Type:Organization
Organization Name:VISIONS EARLY START PROGRAMS, INC
Other - Org Name:VISIONS IN-HOME EARLY INTERVENTION PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:EDUCATION
Authorized Official - Phone:714-703-1383
Mailing Address - Street 1:12373 LEWIS ST STE 103
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4676
Mailing Address - Country:US
Mailing Address - Phone:714-703-1383
Mailing Address - Fax:714-703-1324
Practice Address - Street 1:12373 LEWIS ST STE 103
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4676
Practice Address - Country:US
Practice Address - Phone:714-703-1383
Practice Address - Fax:714-703-1324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency