| Reach For The Stars L.l.c | |
|
4640 Capital Dr Lake Worth FL 33463-8183 | |
| (954) 895-9862 | |
| Not Available |
| Full Name | Reach For The Stars L.l.c |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4640 Capital Dr, Lake Worth, Florida |
| Authorized Official Name and Position | Jessica Revord (OWNER) |
| Authorized Official Contact | 5619340624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach For The Stars L.l.c 4640 Capital Dr Lake Worth FL 33463-8183 Ph: (954) 895-9862 | Reach For The Stars L.l.c 4640 Capital Dr Lake Worth FL 33463-8183 Ph: (954) 895-9862 |
| NPI Number | 1235936774 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235936774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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