Provider Demographics
NPI:1750136602
Name:SVP SPECIAL SERVICES LLC
Entity type:Organization
Organization Name:SVP SPECIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:914-330-0417
Mailing Address - Street 1:6227 BROADWAY APT 8A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3160
Mailing Address - Country:US
Mailing Address - Phone:914-330-0417
Mailing Address - Fax:
Practice Address - Street 1:6227 BROADWAY APT 8A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3160
Practice Address - Country:US
Practice Address - Phone:914-330-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency