Shtely Sabuna Gustave, ITDS
Developmental Therapist in Greenacres, FL. Individual provider (NPI-1).
NPI number1629962519
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1629962519
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shtely Sabuna Gustave
- Credential
- ITDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | FL | Yes |
Practice location
101 1st LnGreenacres, FL 33463-4255
Phone 561-729-1824
Mailing address
101 1st LnGreenacres, FL 33463-4255
Phone 561-729-1824
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