Provider Demographics
NPI:1336572577
Name:AVON PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:AVON PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-404-4707
Mailing Address - Street 1:34 SIMSBURY RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3714
Mailing Address - Country:US
Mailing Address - Phone:860-404-4707
Mailing Address - Fax:860-404-4704
Practice Address - Street 1:34 SIMSBURY RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3714
Practice Address - Country:US
Practice Address - Phone:860-404-4707
Practice Address - Fax:860-404-4704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)