Individual provider · NPI-1
Jenniffer Flores Morales, BA
Developmental Therapist · Ruskin, FL
NPI number1851868848
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1851868848
- Entity type
- Individual (NPI-1)
- Name
- Miss Jenniffer Flores Morales
- Credential
- BA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2018
- Certification date
- Apr 26, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | FL | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
Delano Trent StRuskin, FL 33570
Phone 772-646-8027
Mailing address
1415 Delano Trent StRuskin, FL 33570-7941
Phone 772-646-8027
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