1912621780 NPI number — KIDS PLACE 4 ABA INC

Table of content: (NPI 1912621780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912621780 NPI number — KIDS PLACE 4 ABA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KIDS PLACE 4 ABA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912621780
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2106 CHICORY WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89509-5844
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-710-1688
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3079 HARRISON AVE #12
Provider Second Line Business Practice Location Address:
SUITE 111
Provider Business Practice Location Address City Name:
SOUTH LAKE TAHOE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-710-1688
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2022

Additional Information

Authorized Official

Authorized Official Last Name:
COPENHAVER
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
775-710-1688

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 881323141 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: EIN . This is a "MEDICAL BIILING" identifier . This identifiers is of the category "OTHER".




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