Provider Demographics
NPI:1942434741
Name:NYANSA LEARNING CORPORATION
Entity Type:Organization
Organization Name:NYANSA LEARNING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-701-2740
Mailing Address - Street 1:640 N TUSTIN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3731
Mailing Address - Country:US
Mailing Address - Phone:949-701-2740
Mailing Address - Fax:949-606-7089
Practice Address - Street 1:640 N TUSTIN AVE STE 101
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3731
Practice Address - Country:US
Practice Address - Phone:949-701-2740
Practice Address - Fax:949-606-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health