| My Innovative Therapy Llc | |
|
17820 Nw 48th Court Miami Gardens FL 33055 | |
| (855) 316-1125 | |
| Not Available |
| Full Name | My Innovative Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17820 Nw 48th Court, Miami Gardens, Florida |
| Authorized Official Name and Position | Annelisa Marisol Machado (OWNER) |
| Authorized Official Contact | 8553161125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Innovative Therapy Llc 17820 Nw 48th Ct Miami Gardens FL 33055-3210 Ph: (855) 316-1125 | My Innovative Therapy Llc 17820 Nw 48th Court Miami Gardens FL 33055 Ph: (855) 316-1125 |
| NPI Number | 1053066845 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 12/29/2025 |
| Certification Date | 12/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053066845 | NPI | - | NPPES |
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