Amp Pediatric Therapy LLC

NPI #1982209243 in Orlando, Florida

Provider Information

NPI Number: 1982209243
Entity Type: Organization
Organization Name: Amp Pediatric Therapy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AMP PEDIATRIC THERAPY LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 3, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 6900 TAVISTOCK LAKES BLVD STE 400
City: Orlando
State: Florida
ZIP Code: 32827-7593
Phone: (407) 970-0824

Authorized Official

Name: ALEXANDRA MARIE PEREZ
Title: OWNER/PT
Phone: (407) 970-0824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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