Provider Demographics
NPI:1275858748
Name:PLAYFUL BEGINNINGS, INC.
Entity Type:Organization
Organization Name:PLAYFUL BEGINNINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:909-583-4040
Mailing Address - Street 1:33562 YUCAIPA BLVD
Mailing Address - Street 2:PMB 4-133
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-2072
Mailing Address - Country:US
Mailing Address - Phone:909-583-4040
Mailing Address - Fax:909-217-3456
Practice Address - Street 1:3387 8 GOLDEN CROWN WAY
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399
Practice Address - Country:US
Practice Address - Phone:909-583-4040
Practice Address - Fax:909-217-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18601252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency