| Prospect Therapy Group Fl Llc | |
|
19046 Bruce B Downs Blvd Ste 189 Tampa FL 33647 | |
| (347) 921-3250 | |
| Not Available |
| Full Name | Prospect Therapy Group Fl Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19046 Bruce B Downs Blvd, Tampa, Florida |
| Authorized Official Name and Position | Natalie Reyman (SHAREHOLDER) |
| Authorized Official Contact | 3479213250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Therapy Group Fl Llc 1150 Nw 72nd Ave Ste 455 Miami FL 33126-1947 Ph: (347) 921-3250 | Prospect Therapy Group Fl Llc 19046 Bruce B Downs Blvd Ste 189 Tampa FL 33647 Ph: (347) 921-3250 |
| NPI Number | 1659160091 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659160091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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