Provider Demographics
NPI:1649522921
Name:LINKED-UP ACADEMY, LLC
Entity type:Organization
Organization Name:LINKED-UP ACADEMY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-374-2601
Mailing Address - Street 1:85 CAMP AVE
Mailing Address - Street 2:UNIT 11D
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-1830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:85 CAMP AVE
Practice Address - Street 2:UNIT 11D
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06907-1830
Practice Address - Country:US
Practice Address - Phone:914-374-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty