Provider Demographics
NPI:1942746599
Name:NCJ CONSULTING LLC
Entity Type:Organization
Organization Name:NCJ CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:NICKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:347-625-7484
Mailing Address - Street 1:11804 MARSDEN ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2232
Mailing Address - Country:US
Mailing Address - Phone:347-625-7484
Mailing Address - Fax:
Practice Address - Street 1:11804 MARSDEN ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-2232
Practice Address - Country:US
Practice Address - Phone:347-625-7484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency