| Jumpstart Developmental Services Llc | |
|
5979 Nw 151st St Ste 102i Miami Lakes FL 33014-2434 | |
| (786) 431-5801 | |
| (786) 353-9177 |
| Full Name | Jumpstart Developmental Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5979 Nw 151st St Ste 102i, Miami Lakes, Florida |
| Authorized Official Name and Position | Ryan Justin Montoto (OWNER/OPERATOR) |
| Authorized Official Contact | 7862451405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jumpstart Developmental Services Llc 5979 Nw 151st St Ste 102i Miami Lakes FL 33014-2434 Ph: (786) 431-5801 | Jumpstart Developmental Services Llc 5979 Nw 151st St Ste 102i Miami Lakes FL 33014-2434 Ph: (786) 431-5801 |
| NPI Number | 1699363291 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699363291 | NPI | - | NPPES |
| 103180400 | Medicaid | FL |
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