Provider Demographics
NPI:1982965232
Name:KIDS FIRST SPECTRUM SERVICES INC.
Entity Type:Organization
Organization Name:KIDS FIRST SPECTRUM SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:516-728-0974
Mailing Address - Street 1:1 BARSTOW RD
Mailing Address - Street 2:SUIT P-20
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 BARSTOW RD
Practice Address - Street 2:SUITE P-20
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3540
Practice Address - Country:US
Practice Address - Phone:516-728-0974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health