Provider Demographics
NPI:1013548270
Name:ESSENTIAL BEGINNINGS BEHAVIOR AND LEARNING SERVICES
Entity Type:Organization
Organization Name:ESSENTIAL BEGINNINGS BEHAVIOR AND LEARNING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:LASANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:609-721-2724
Mailing Address - Street 1:389 DELAWARE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:DE
Mailing Address - Zip Code:19938-3963
Mailing Address - Country:US
Mailing Address - Phone:609-721-2724
Mailing Address - Fax:
Practice Address - Street 1:28 E MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1483
Practice Address - Country:US
Practice Address - Phone:302-278-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty