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TEAM THERAPY, LLC

Behavioral Analyst

Navarre, Florida

Provider NPI: 1841432853

Organization Information:
Organization Name:  TEAM THERAPY, LLC
Organization is not Subpart
Authorized Official:  NIKKI  MARTIN  OWNER MANAGER MEMBER  850-8653981

Practice Location:
9523 PARKER PLACE DR  NAVARRE, FL 32566 US
Tel: 850-865-3981  Fax: 866-675-6298

Business Mailing Address:
9523 PARKER PLACE DR  NAVARRE, FL 32566 US
Tel: 850-865-3981  Fax: 866-675-6298

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103K00000X

N174400000XOther Service Providers
Specialist
N225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Other Provider Identifiers:

IssuerNumberStateType
000961700FL05
001012700FL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS FL - Page 1



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