Provider Demographics
NPI:1750527875
Name:DEVELOPMENTAL EDUCATION CONSULTANTS, INC.
Entity type:Organization
Organization Name:DEVELOPMENTAL EDUCATION CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CHILDRESS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:800-653-7017
Mailing Address - Street 1:2901 ELLSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:NORTONVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66060-5019
Mailing Address - Country:US
Mailing Address - Phone:800-653-7017
Mailing Address - Fax:954-212-2411
Practice Address - Street 1:2901 ELLSWORTH RD
Practice Address - Street 2:
Practice Address - City:NORTONVILLE
Practice Address - State:KS
Practice Address - Zip Code:66060-5019
Practice Address - Country:US
Practice Address - Phone:800-653-7017
Practice Address - Fax:954-212-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE470302F00000X
MO2005032056302F00000X
KS1702306302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization