Amp Pediatric Therapy LLC
Behavior Analyst in Orlando, FL. Organization (NPI-2).
NPI number1982209243
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1982209243
- Entity type
- Organization (NPI-2)
- Legal business name
- Amp Pediatric Therapy LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
6900 Tavistock Lakes Blvd Ste 400Orlando, FL 32827-7593
Phone 407-970-0824
Mailing address
6900 Tavistock Lakes Blvd Ste 400Orlando, FL 32827-7593
Phone 407-970-0824
Authorized official
Alexandra Marie Perez
Owner/Pt
4079700824
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