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Mr. Kenneth Wallace Landeau, COTA/L
Developmentally Disabled Services Day Training Agency in Hauppauge, New York
NPI 1972617173

Kenneth Wallace Landeau is a Developmentally Disabled Services Day Training Agency based in Commack, NY. Kenneth Wallace Landeau practices in Hauppauge, NY and has the professional credentials of COTA/L. The NPI Number for Kenneth Wallace Landeau is 1972617173 and holds a License No. 005537-1 (New York).

The current practice location address for Kenneth Wallace Landeau is 120 Plant Ave, Hauppauge, NY and can be reached out via phone at 631-851-3810.

Location: 120 Plant Ave, Hauppauge, NY, 11725-1424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972617173
Provider Name
Kenneth Wallace Landeau
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
120 Plant Ave, Hauppauge, NY, 11725-1424
Phone Number
631-851-3810
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
120 Plant Ave
City
Hauppauge
State
New York
Zip
11788-3805
Phone Number
631-851-3810
Fax Number
person
Provider Business Mailing Address Details
Address
120 Plant Ave
City
Hauppauge
State
New York
Zip
11788-3805
Phone Number
631-851-3810
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
005537-1 (New York)
Definition
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.
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