Provider Demographics
NPI:1356787428
Name:SENSATIONAL KIDS LLC
Entity type:Organization
Organization Name:SENSATIONAL KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SFREDDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-232-4553
Mailing Address - Street 1:5001 SOFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-8319
Mailing Address - Country:US
Mailing Address - Phone:703-232-4553
Mailing Address - Fax:
Practice Address - Street 1:5001 SOFTWOOD LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8319
Practice Address - Country:US
Practice Address - Phone:703-232-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management