Individual provider · NPI-1

Berlinda Renee' Good

Developmental Therapist · Plantation, FL

NPI number1982258786
StatusActive
Last updated in NPPESJul 30, 2019

Details

NPI
1982258786
Entity type
Individual (NPI-1)
Name
Berlinda Renee' Good
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 30, 2019
Last updated
Jul 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes
174400000X Specialist–FL

Practice location

461 Nw 78th Ave
Plantation, FL 33324-1952

Phone 954-592-3673

Mailing address

Po Box 245941
Pembroke Pines, FL 33024-0115

Phone 954-592-3673

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