Individual provider · Type 1 NPI

Suzanne Pavelock

Developmentally Disabled Services Day Training Agency · Ronkonkoma, NY

NPI number 1740695097 Active

Practice location

90 Airpark Drive
Ronkonkoma, NY 11779

Mailing address

221 Stuyvesant Dr
Selden, NY 11784-1225

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency Primary 251C00000X827294 (NY)

Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…

Another provider at this address

About NPI 1740695097

Suzanne Pavelock's National Provider Identifier is 1740695097, issued on Jun 25, 2014. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jun 25, 2014.