| Paloma Academy Inc | |
|
2740 N Harbor City Blvd Melbourne FL 32935-6291 | |
| (404) 405-5113 | |
| Not Available |
| Full Name | Paloma Academy Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2740 N Harbor City Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Sherry Marvinny (CEO) |
| Authorized Official Contact | 4044055113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paloma Academy Inc 2740 N Harbor City Blvd Melbourne FL 32935-6291 Ph: (404) 405-5113 | Paloma Academy Inc 2740 N Harbor City Blvd Melbourne FL 32935-6291 Ph: (404) 405-5113 |
| NPI Number | 1336788611 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336788611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
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