| Neurodivergent Parenting Llc | |
|
996 Royal Marco Way Marco Island FL 34145-1829 | |
| (310) 699-4229 | |
| Not Available |
| Full Name | Neurodivergent Parenting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 996 Royal Marco Way, Marco Island, Florida |
| Authorized Official Name and Position | Thea Pham (CEO) |
| Authorized Official Contact | 3106994229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodivergent Parenting Llc 996 Royal Marco Way Marco Island FL 34145-1829 Ph: (310) 699-4229 | Neurodivergent Parenting Llc 996 Royal Marco Way Marco Island FL 34145-1829 Ph: (310) 699-4229 |
| NPI Number | 1538986922 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538986922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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