Provider Demographics
NPI:1780424812
Name:A LEON BRIGHTER FUTURE. II LLC
Entity type:Organization
Organization Name:A LEON BRIGHTER FUTURE. II LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:N
Authorized Official - Last Name:IFILL LEON
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:917-628-5277
Mailing Address - Street 1:201 W KINGSBRIDGE RD APT 5H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-7316
Mailing Address - Country:US
Mailing Address - Phone:201-497-4102
Mailing Address - Fax:
Practice Address - Street 1:201 W KINGSBRIDGE RD APT 5H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7316
Practice Address - Country:US
Practice Address - Phone:201-497-4102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty