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MR. KENNETH WALLACE LANDEAU COTA/L NPI 1972617173


NPI Information

NPI: 1972617173
Provider Name: MR. KENNETH WALLACE LANDEAU, COTA/L
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Individual
Address:
120 PLANT AVE
HAUPPAUGE, NY
ZIP 11788
Phone: (631) 851-3810
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MR. Kenneth Wallace Landeau, COTA/L is a day training developmentally disabled services in Hauppauge, NY. The provider is 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 functioning. MR. Kenneth Wallace Landeau, COTA/L NPI is 1972617173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 PLANT AVE
HAUPPAUGE, NY
ZIP 11788-805
Phone: (631) 851-3810

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled Services005537-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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