Provider Demographics
NPI:1457969628
Name:FORWARD INTERVENTIONS AND LEARNING, LLC
Entity Type:Organization
Organization Name:FORWARD INTERVENTIONS AND LEARNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLINEDO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-952-9459
Mailing Address - Street 1:PO BOX 684
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-0684
Mailing Address - Country:US
Mailing Address - Phone:201-952-9459
Mailing Address - Fax:
Practice Address - Street 1:475 JANSEN AVE
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1333
Practice Address - Country:US
Practice Address - Phone:201-952-9459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care