Provider Demographics
NPI:1336559269
Name:SPECIALIZED TUTORIAL SERVICES LLC
Entity Type:Organization
Organization Name:SPECIALIZED TUTORIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:201-647-4366
Mailing Address - Street 1:185 PROSPECT AVE APT 5D
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2211
Mailing Address - Country:US
Mailing Address - Phone:201-647-4366
Mailing Address - Fax:
Practice Address - Street 1:185 PROSPECT AVE APT 5D
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2211
Practice Address - Country:US
Practice Address - Phone:201-647-4366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400643270251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services