MRS. Shtely Sabuna Gustave, ITDS

NPI #1629962519 in Greenacres, Florida

Provider Information

NPI Number: 1629962519
Entity Type: Individual
Name: MRS. Shtely Sabuna Gustave, ITDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: ITDS
Enumeration Date: Jun 5, 2025
Last Updated: Jun 5, 2025

Practice Location

Address: 101 1ST LN
City: Greenacres
State: Florida
ZIP Code: 33463-4255
Phone: (561) 729-1824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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