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EARLY INTERVENTION PROGRAM
NPI 1104152388
Day Training, Developmentally Disabled Services in Fort Washakie, WY

Active since October 23, 2009
90 ETHETE ROAD, FORT WASHAKIE, WY 82514(307) 332-3516(307) 332-9116 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Early Intervention Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARLY INTERVENTION PROGRAM (NPI 1104152388) is a healthcare organization registered as a day training, developmentally disabled services in Fort Washakie, Wyoming and active in the NPI registry since October 2009. The organization lists Sue Jezek, Director, as its authorized official.

NPPES Registry Identity

NPI1104152388
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameEARLY INTERVENTION PROGRAM
Location Address90 ETHETE ROADFort Washakie, WY 82514
Mailing AddressPo Box 610Fort Washakie, WY 82514-0610 · (307) 332-3516 · Fax (307) 332-9116
Phone(307) 332-3516
Fax(307) 332-9116
Organization SubpartNo
Authorized OfficialSue JezekDirector · (307) 332-3516
Enumeration DateOctober 23, 2009
✔ NPI 1104152388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
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.
90 ETHETE ROAD, Fort Washakie, WY 82514
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEHNING JO DEHNING MS, PT
Physical Therapist (Pediatrics)
90 ETHETE ROAD
FORT WASHAKIE, WY 82514
Fremont County (307) 332-3516
MRS. ELIZABETH A. HASTINGS LCSW
Social Worker (Clinical)
90 ETHETE ROAD
FT. WASHAKIE, WY 82514
Fremont County (307) 332-3516
SHOSHONE TRIBE EARLY INTERVENTION PROGRAM
Case Management
90 ETHETE ROAD
FT. WASHAKIE, WY 82514
Fremont County (307) 332-3516
JAN S KEITH COTA
Occupational Therapy Assistant
90 ETHETE ROAD
FORT WASHAKIE, WY 82514
Fremont County (307) 332-6516
SHOSHONE TRIBE EARLY INTERVENTION PROGRAM
Local Education Agency (LEA)
90 ETHETE ROAD
FORT WASHAKIE, WY 82514
Fremont County (307) 332-3516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Early Intervention Program's NPI number?

The NPI number for Early Intervention Program is 1104152388. It was assigned to this organization in the NPPES registry on October 23, 2009.

Where is Early Intervention Program located?

Early Intervention Program is located at 90 Ethete Road, Fort Washakie, WY 82514. The listed phone number is (307) 332-3516.

What is Early Intervention Program's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Early Intervention Program was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.