Provider Demographics
NPI:1780453696
Name:INCLUSIVE BEGINNINGS LLC
Entity type:Organization
Organization Name:INCLUSIVE BEGINNINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YISELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENTENZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-234-5646
Mailing Address - Street 1:215 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2245
Mailing Address - Country:US
Mailing Address - Phone:201-514-6835
Mailing Address - Fax:
Practice Address - Street 1:145 MORTIMER AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1614
Practice Address - Country:US
Practice Address - Phone:201-514-6835
Practice Address - Fax:201-266-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty