Provider Demographics
NPI:1922662923
Name:REACHING 4 SUCCESS INC
Entity Type:Organization
Organization Name:REACHING 4 SUCCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED & BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NISUYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, BCBA, LBA
Authorized Official - Phone:917-509-9792
Mailing Address - Street 1:1414 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5317
Mailing Address - Country:US
Mailing Address - Phone:917-509-9792
Mailing Address - Fax:
Practice Address - Street 1:1414 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5317
Practice Address - Country:US
Practice Address - Phone:917-509-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency