Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kidtastic Consulting Services, Inc

Organization Early Intervention Provider Agency · NPI 1730329459

Kidtastic Consulting Services, Inc is an Early Intervention Provider Agency in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Birch St
Lake Grove, NY 11755-2743
Phone: (631) 553-7952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 210765081 (NY)

Record details

NPI number1730329459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawnmarie Garrett — President · (631) 553-7952
NPI enumeratedFebruary 21, 2009
Last updated in NPPESFebruary 21, 2009
Mailing address62 Birch St, Lake Grove, NY 11755-2743

Other providers in Lake Grove