Provider Demographics
NPI:1649779745
Name:EARLY FOCUS THERAPIES, INC
Entity type:Organization
Organization Name:EARLY FOCUS THERAPIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEAUDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SPED, LMHC
Authorized Official - Phone:516-435-8892
Mailing Address - Street 1:1031 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3034
Mailing Address - Country:US
Mailing Address - Phone:516-435-8892
Mailing Address - Fax:516-775-0443
Practice Address - Street 1:1031 N 7TH ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3034
Practice Address - Country:US
Practice Address - Phone:516-435-8892
Practice Address - Fax:516-775-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-05
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency