Organization · NPI-2

A. Benavides Therapy LLC

Developmental Therapist · Greenacres, FL

NPI number1558054239
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1558054239
Entity type
Organization (NPI-2)
Legal business name
A. Benavides Therapy LLC
Organization subpart
No
Enumeration date
May 30, 2023
Certification date
May 21, 2023
Last updated
May 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

303 Timberlane Cir
Greenacres, FL 33463-8405

Phone 561-255-7892

Mailing address

303 Timberlane Cir
Greenacres, FL 33463-8405

Phone 561-255-7892

Authorized official

Alicia E Falcon
Authorized Official
5612557892

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