Provider Demographics
NPI:1013165216
Name:SPECIALIZED EARLY CHILDHOOD CENTER OF WNY, INC
Entity Type:Organization
Organization Name:SPECIALIZED EARLY CHILDHOOD CENTER OF WNY, INC
Other - Org Name:BORNHAVA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA-JO
Authorized Official - Middle Name:
Authorized Official - Last Name:HARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-839-1655
Mailing Address - Street 1:25 CHATEAU TER
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3927
Mailing Address - Country:US
Mailing Address - Phone:716-839-1655
Mailing Address - Fax:716-839-1656
Practice Address - Street 1:25 CHATEAU TER
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3927
Practice Address - Country:US
Practice Address - Phone:716-839-1655
Practice Address - Fax:716-839-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency