Provider Demographics
NPI:1801648787
Name:MNL SPECIAL EDUCATION SERVICES LLC
Entity type:Organization
Organization Name:MNL SPECIAL EDUCATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENAIRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-968-6597
Mailing Address - Street 1:100 BOULDER BROOK DR
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-3228
Mailing Address - Country:US
Mailing Address - Phone:917-968-6597
Mailing Address - Fax:
Practice Address - Street 1:100 BOULDER BROOK DR
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-3228
Practice Address - Country:US
Practice Address - Phone:917-968-6597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency