Mindspark Therapy Llc | |
1148 Epson Oaks Way Orlando FL 32837-6320 | |
(407) 486-0444 | |
Not Available |
Full Name | Mindspark Therapy Llc |
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Speciality | Behavior Analyst |
Location | 1148 Epson Oaks Way, Orlando, Florida |
Authorized Official Name and Position | Pascual Ciampi (OWNER) |
Authorized Official Contact | 4074860444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindspark Therapy Llc 1148 Epson Oaks Way Orlando FL 32837-6320 Ph: (407) 486-0444 | Mindspark Therapy Llc 1148 Epson Oaks Way Orlando FL 32837-6320 Ph: (407) 486-0444 |
NPI Number | 1356032742 |
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Provider Enumeration Date | 05/16/2023 |
Last Update Date | 07/11/2024 |
Certification Date | 07/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356032742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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