Provider Demographics
NPI:1316467418
Name:OUR EXCEPTIONAL KIDS LLC
Entity type:Organization
Organization Name:OUR EXCEPTIONAL KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:KAMAL EDDINE
Authorized Official - Last Name:ALAOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-981-6292
Mailing Address - Street 1:3833 WOODSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2466
Mailing Address - Country:US
Mailing Address - Phone:347-981-6292
Mailing Address - Fax:
Practice Address - Street 1:3833 WOODSIDE AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2466
Practice Address - Country:US
Practice Address - Phone:347-981-6292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty