NPI 1194032656

Kidango

Organisation Early Intervention Provider Agency Fremont, CA

Practice location

Address: 44000 Old Warm Springs Blvd, Fremont, CA 94538-6145
Phone: (510) 565-0837

Authorised official

Name: Alisson Ellwood
Title: Supervisor
Phone: (510) 565-0837

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 252Y00000X (CA)

Other Early Intervention Provider Agency providers in California →

Registry record

NPI: 1194032656
Entity type: Organization
NPI issued: 7 Sep 2010
Record last updated: 7 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.