| Fataj Transition & Learning Center, Llc | |
|
16591 Wingspread Loop Winter Garden FL 34787-9493 | |
| (407) 680-8957 | |
| (407) 395-3487 |
| Full Name | Fataj Transition & Learning Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16591 Wingspread Loop, Winter Garden, Florida |
| Authorized Official Name and Position | Lateisha Jackson (DIRECTOR) |
| Authorized Official Contact | 2489100440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fataj Transition & Learning Center, Llc 16591 Wingspread Loop Winter Garden FL 34787-9493 Ph: (248) 910-0440 | Fataj Transition & Learning Center, Llc 16591 Wingspread Loop Winter Garden FL 34787-9493 Ph: (407) 680-8957 |
| NPI Number | 1437701844 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437701844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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